Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.14 / $86.14 / $95.42	Facility	26	$86.14	$86.14	$95.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.67 / $86.93 / $98.03	Professional	26	$66.67	$86.93	$98.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $54.39 / $74.65 / $76.38	Facility	26	$54.39	$74.65	$76.38
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,497.68 / $1,497.68 / $1,497.68	Facility	26	$1,497.68	$1,497.68	$1,497.68