Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.41 / $174.41 / $193.37	Facility	26	$174.41	$174.41	$193.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.38 / $88.38 / $88.38	Facility	26	$88.38	$88.38	$88.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $135.28 / $176.38 / $199.06	Professional	26	$135.28	$176.38	$199.06
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $111.44 / $151.54 / $154.77	Facility	26	$111.44	$151.54	$154.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $88.38 / $88.38 / $88.38	Facility	26	$88.38	$88.38	$88.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,043.22 / $3,043.22 / $3,043.22	Facility	26	$3,043.22	$3,043.22	$3,043.22