Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.45 / $65.62 / $153.75	Facility	26	$51.45	$65.62	$153.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.54 / $66.86 / $77.20	Professional	26	$56.54	$66.86	$77.20
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $59.13 / $61.64	Facility	26	$45.08	$59.13	$61.64
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $385.75 / $385.75 / $385.75	Facility	26	$385.75	$385.75	$385.75