Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $483.12 / $483.12 / $537.36	Facility	26	$483.12	$483.12	$537.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $349.28 / $495.62 / $564.19	Professional	26	$349.28	$495.62	$564.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $308.14 / $425.48 / $446.89	Facility	26	$308.14	$425.48	$446.89
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,401.03 / $8,401.03 / $8,401.03	Facility	26	$8,401.03	$8,401.03	$8,401.03