Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $341.97 / $341.97 / $375.41	Facility	26	$341.97	$341.97	$375.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $244.87 / $346.51 / $394.46	Professional	26	$244.87	$346.51	$394.46
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $229.17 / $298.30 / $318.92	Facility	26	$229.17	$298.30	$318.92
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