Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $50.12 / $58.88	Facility	26	$30.90	$50.12	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $48.98 / $58.88	Professional	26	$42.66	$48.98	$58.88
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $45.71 / $46.77	Facility	26	$37.15	$45.71	$46.77
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02
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