Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $476.89 / $488.28 / $733.23	Facility	26	$476.89	$488.28	$733.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $476.01 / $673.06 / $766.19	Professional	26	$476.01	$673.06	$766.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $441.38 / $579.87 / $619.45	Facility	26	$441.38	$579.87	$619.45
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