Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $190.55 / $204.17	Facility	26	$104.71	$190.55	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $213.80	Professional	26	$147.91	$177.83	$213.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $158.49 / $162.18	Facility	26	$131.83	$158.49	$162.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $91.20 / $131.83	Facility	26	$19.50	$91.20	$131.83
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81