Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $693.19 / $693.19 / $1,033.77	Facility	26	$693.19	$693.19	$1,033.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $667.69 / $942.32 / $1,072.71	Professional	26	$667.69	$942.32	$1,072.71
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $540.05 / $793.72 / $826.11	Facility	26	$540.05	$793.72	$826.11
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