Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $670.71 / $670.71 / $743.91	Facility	26	$670.71	$670.71	$743.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $482.95 / $682.84 / $777.32	Professional	26	$482.95	$682.84	$777.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $448.65 / $588.30 / $630.50	Facility	26	$448.65	$588.30	$630.50
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,482.39 / $9,482.39 / $9,482.39	Facility	26	$9,482.39	$9,482.39	$9,482.39