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 / $42.66	Facility	26	$22.91	$37.15	$42.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $36.31 / $40.74	Professional	26	$16.98	$36.31	$40.74
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
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90