Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.78 / $100.78 / $111.51	Facility	26	$100.78	$100.78	$111.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.06 / $51.06 / $51.06	Facility	26	$51.06	$51.06	$51.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.38 / $102.35 / $115.35	Professional	26	$85.38	$102.35	$115.35
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $73.11 / $88.02 / $99.83	Facility	26	$73.11	$88.02	$99.83
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.06 / $51.06 / $51.06	Facility	26	$51.06	$51.06	$51.06
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,505.71 / $2,505.71 / $2,505.71	Facility	26	$2,505.71	$2,505.71	$2,505.71