Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $69.18 / $75.86	Facility	26	$48.98	$69.18	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $74.13	Professional	26	$47.86	$61.66	$74.13
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $75.86 / $75.86	Facility	26	$51.29	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $58.88 / $61.66	Facility	26	$48.98	$58.88	$61.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05