Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $562.34 / $602.56	Facility	26	$316.23	$562.34	$602.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $512.86 / $616.60	Professional	26	$407.38	$512.86	$616.60
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $467.74 / $501.19	Facility	26	$398.11	$467.74	$501.19
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