Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.94 / $82.03 / $165.08	Facility	26	$71.94	$82.03	$165.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.76 / $75.54 / $78.15	Professional	26	$32.76	$75.54	$78.15
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $50.87 / $65.41 / $70.34	Facility	26	$50.87	$65.41	$70.34
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