Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.39 / $50.16 / $101.03	Facility	26	$43.39	$50.16	$101.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $46.56 / $48.16	Professional	26	$20.19	$46.56	$48.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.07 / $39.15 / $41.48	Facility	26	$29.07	$39.15	$41.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,526.97 / $1,526.97 / $1,526.97	Facility	26	$1,526.97	$1,526.97	$1,526.97