Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.03 / $226.03 / $247.63	Facility	26	$226.03	$226.03	$247.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $187.77 / $222.45 / $256.41	Professional	26	$187.77	$222.45	$256.41
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $144.87 / $196.76 / $206.70	Facility	26	$144.87	$196.76	$206.70
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