Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.22 / $169.35 / $341.90	Facility	26	$149.22	$169.35	$341.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.25 / $155.07 / $160.41	Professional	26	$67.25	$155.07	$160.41
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $98.35 / $133.90 / $138.72	Facility	26	$98.35	$133.90	$138.72
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,526.97 / $1,526.97 / $1,526.97	Facility	26	$1,526.97	$1,526.97	$1,526.97