Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.20 / $281.20 / $309.42	Facility	26	$281.20	$281.20	$309.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $232.70 / $275.63 / $317.76	Professional	26	$232.70	$275.63	$317.76
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $196.98 / $243.79 / $262.64	Facility	26	$196.98	$243.79	$262.64
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $1,640.24 / $1,640.24	Facility	26	$1,640.24	$1,640.24	$1,640.24