Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.46 / $122.46 / $134.97	Facility	26	$122.46	$122.46	$134.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.19 / $116.56 / $139.83	Professional	26	$99.19	$116.56	$139.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $79.38 / $107.20 / $111.78	Facility	26	$79.38	$107.20	$111.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,112.20 / $1,112.20 / $1,112.20	Facility	26	$1,112.20	$1,112.20	$1,112.20