Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.47 / $251.47 / $273.77	Facility	26	$251.47	$251.47	$273.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $177.38 / $251.46 / $286.26	Professional	26	$177.38	$251.46	$286.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $167.15 / $216.09 / $234.60	Facility	26	$167.15	$216.09	$234.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $17,910.32 / $17,910.32 / $17,910.32	Facility	26	$17,910.32	$17,910.32	$17,910.32