Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.88 / $180.11 / $362.79	Facility	26	$156.88	$180.11	$362.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.06 / $166.17 / $171.89	Professional	26	$72.06	$166.17	$171.89
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $98.49 / $140.40 / $144.84	Facility	26	$98.49	$140.40	$144.84
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