Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $83.18 / $97.72	Facility	26	$52.48	$83.18	$97.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $100.00	Professional	26	$75.86	$85.11	$100.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $64.57 / $77.62	Facility	26	$42.66	$64.57	$77.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $44.67 / $63.10	Facility	26	$9.55	$44.67	$63.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	26	$5,754.40	$5,754.40	$5,754.40