Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $162.18 / $190.55	Facility	26	$104.71	$162.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $162.18 / $194.98	Professional	26	$141.25	$162.18	$194.98
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $151.36 / $154.88	Facility	26	$123.03	$151.36	$154.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	26	$8,317.64	$8,317.64	$8,317.64