Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $53.70 / $63.10	Facility	26	$33.88	$53.70	$63.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $52.48 / $60.26	Professional	26	$25.12	$52.48	$60.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $48.98 / $51.29	Facility	26	$39.81	$48.98	$51.29
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