Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.35 / $173.40 / $384.86	Facility	26	$166.35	$173.40	$384.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $143.91 / $170.18 / $196.51	Professional	26	$143.91	$170.18	$196.51
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $100.26 / $150.53 / $153.43	Facility	26	$100.26	$150.53	$153.43
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $679.90 / $679.90 / $679.90	Facility	26	$679.90	$679.90	$679.90