Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.61 / $245.61 / $269.33	Facility	26	$245.61	$245.61	$269.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $175.41 / $248.49 / $282.87	Professional	26	$175.41	$248.49	$282.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $163.28 / $213.67 / $231.20	Facility	26	$163.28	$213.67	$231.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,064.39 / $3,064.39 / $3,064.39	Facility	26	$3,064.39	$3,064.39	$3,064.39