Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $37.15 / $43.65	Facility	26	$22.91	$37.15	$43.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $36.31 / $43.65	Professional	26	$31.62	$36.31	$43.65
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $33.88 / $34.67	Facility	26	$28.18	$33.88	$34.67
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25