Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $199.53 / $234.42	Facility	26	$125.89	$199.53	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $190.55 / $229.09	Professional	26	$147.91	$190.55	$229.09
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $181.97 / $186.21	Facility	26	$151.36	$181.97	$186.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	26	$831.76	$831.76	$831.76