Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.04 / $114.39 / $230.87	Facility	26	$100.04	$114.39	$230.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $104.83 / $108.44	Professional	26	$45.46	$104.83	$108.44
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $67.34 / $90.51 / $93.13	Facility	26	$67.34	$90.51	$93.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68