Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.27 / $253.11 / $509.90	Facility	26	$220.27	$253.11	$509.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.94 / $232.76 / $240.78	Professional	26	$100.94	$232.76	$240.78
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $132.88 / $201.34 / $204.35	Facility	26	$132.88	$201.34	$204.35
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,269.74 / $9,269.74 / $9,269.74	Facility	26	$9,269.74	$9,269.74	$9,269.74