Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.15 / $169.15 / $169.15	Facility	26	$169.15	$169.15	$169.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $335.03 / $335.03 / $405.23	Professional	26	$335.03	$335.03	$405.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $5,551.62	Facility	26	$5,551.62	$5,551.62	$5,551.62