Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.35 / $174.73 / $352.24	Facility	26	$152.35	$174.73	$352.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.98 / $161.38 / $166.96	Professional	26	$69.98	$161.38	$166.96
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $107.80 / $139.46 / $146.90	Facility	26	$107.80	$139.46	$146.90
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