Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $966.90 / $981.99 / $1,454.85	Facility	26	$966.90	$981.99	$1,454.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $945.22 / $1,339.80 / $1,525.19	Professional	26	$945.22	$1,339.80	$1,525.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $885.18 / $1,151.45 / $1,246.20	Facility	26	$885.18	$1,151.45	$1,246.20
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