Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $551.82 / $654.33 / $1,332.74	Facility	26	$551.82	$654.33	$1,332.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $511.04 / $613.00 / $692.22	Professional	26	$511.04	$613.00	$692.22
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $355.62 / $485.08 / $523.94	Facility	26	$355.62	$485.08	$523.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $740.87 / $740.87 / $740.87	Facility	26	$740.87	$740.87	$740.87