Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $60.26 / $70.79	Facility	26	$38.02	$60.26	$70.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $58.88 / $70.79	Professional	26	$51.29	$58.88	$70.79
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $44.67 / $56.23	Facility	26	$29.51	$44.67	$56.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $45.71	Facility	26	$6.76	$31.62	$45.71
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14