Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.39 / $42.53 / $85.83	Facility	26	$37.39	$42.53	$85.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.85 / $38.86 / $40.19	Professional	26	$16.85	$38.86	$40.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $33.15 / $34.84	Facility	26	$25.19	$33.15	$34.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68