Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.44 / $57.78 / $116.47	Facility	26	$50.44	$57.78	$116.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $54.05 / $55.91	Professional	26	$23.44	$54.05	$55.91
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.46 / $44.89 / $46.51	Facility	26	$32.46	$44.89	$46.51
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27