Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $954.99 / $1,047.13	Facility	26	$562.34	$954.99	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $891.25 / $1,071.52	Professional	26	$426.58	$891.25	$1,071.52
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $812.83 / $831.76	Facility	26	$676.08	$812.83	$831.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	26	$10,000.00	$10,000.00	$10,000.00