Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $719.75 / $719.75 / $792.08	Facility	26	$719.75	$719.75	$792.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $513.77 / $725.06 / $825.38	Professional	26	$513.77	$725.06	$825.38
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $390.29 / $610.77 / $632.48	Facility	26	$390.29	$610.77	$632.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,980.91 / $9,980.91 / $9,980.91	Facility	26	$9,980.91	$9,980.91	$9,980.91