Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $56.23 / $69.18	Facility	26	$34.67	$56.23	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $57.54 / $64.57	Professional	26	$26.92	$57.54	$64.57
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $51.29 / $52.48	Facility	26	$39.81	$51.29	$52.48
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