Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.41 / $194.51 / $391.45	Facility	26	$172.41	$194.51	$391.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.69 / $179.15 / $185.32	Professional	26	$77.69	$179.15	$185.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $102.08 / $155.09 / $158.79	Facility	26	$102.08	$155.09	$158.79
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,863.74 / $4,863.74 / $4,863.74	Facility	26	$4,863.74	$4,863.74	$4,863.74