Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.14 / $61.17 / $123.16	Facility	26	$54.14	$61.17	$123.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $56.56 / $58.51	Professional	26	$24.53	$56.56	$58.51
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $36.82 / $48.75 / $51.09	Facility	26	$36.82	$48.75	$51.09
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