Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.09 / $90.47 / $182.36	Facility	26	$80.09	$90.47	$182.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $82.55 / $85.40	Professional	26	$35.79	$82.55	$85.40
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $52.81 / $71.41 / $74.67	Facility	26	$52.81	$71.41	$74.67
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