Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.91 / $156.06 / $315.22	Facility	26	$135.91	$156.06	$315.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $62.37 / $143.82 / $148.78	Professional	26	$62.37	$143.82	$148.78
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $92.06 / $124.07 / $127.30	Facility	26	$92.06	$124.07	$127.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27