Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.53 / $185.49 / $373.48	Facility	26	$163.53	$185.49	$373.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $169.37 / $175.21	Professional	26	$73.45	$169.37	$175.21
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $97.20 / $146.63 / $150.75	Facility	26	$97.20	$146.63	$150.75
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