Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $351.26 / $351.26 / $392.60	Facility	26	$351.26	$351.26	$392.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.80 / $181.80 / $181.80	Facility	26	$181.80	$181.80	$181.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $277.69 / $361.06 / $406.52	Professional	26	$277.69	$361.06	$406.52
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $224.81 / $301.92 / $318.92	Facility	26	$224.81	$301.92	$318.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $181.80 / $181.80 / $181.80	Facility	26	$181.80	$181.80	$181.80
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