Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.35 / $63.70 / $128.30	Facility	26	$56.35	$63.70	$128.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $61.89 / $64.02	Professional	26	$26.84	$61.89	$64.02
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.79 / $50.92 / $52.40	Facility	26	$37.79	$50.92	$52.40
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