Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $257.04 / $275.42	Facility	26	$144.54	$257.04	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $234.42 / $281.84	Professional	26	$112.20	$234.42	$281.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $213.80 / $223.87	Facility	26	$181.97	$213.80	$223.87
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	26	$3,090.30	$3,090.30	$3,090.30