Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $478.63 / $512.86	Facility	26	$275.42	$478.63	$512.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $446.68 / $537.03	Professional	26	$213.80	$446.68	$537.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $398.11 / $436.52	Facility	26	$346.74	$398.11	$436.52
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