Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $549.54 / $676.08	Facility	26	$331.13	$549.54	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $602.56 / $707.95	Professional	26	$275.42	$602.56	$707.95
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $489.78 / $524.81	Facility	26	$416.87	$489.78	$524.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	26	$741.31	$741.31	$741.31