Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $914.58 / $914.58 / $1,009.49	Facility	26	$914.58	$914.58	$1,009.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $462.59 / $462.59 / $462.59	Facility	26	$462.59	$462.59	$462.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $712.27 / $928.70 / $1,046.36	Professional	26	$712.27	$928.70	$1,046.36
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $586.04 / $797.48 / $811.37	Facility	26	$586.04	$797.48	$811.37
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $462.59 / $462.59 / $462.59	Facility	26	$462.59	$462.59	$462.59
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