Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.21 / $205.47 / $457.73	Facility	26	$198.21	$205.47	$457.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $173.60 / $208.85 / $235.14	Professional	26	$173.60	$208.85	$235.14
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $137.69 / $180.69 / $186.93	Facility	26	$137.69	$180.69	$186.93
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $838.61 / $838.61 / $838.61	Facility	26	$838.61	$838.61	$838.61