Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $826.54 / $826.54 / $907.06	Facility	26	$826.54	$826.54	$907.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $587.40 / $832.47 / $947.66	Professional	26	$587.40	$832.47	$947.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $550.39 / $715.55 / $783.90	Facility	26	$550.39	$715.55	$783.90
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