Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.95 / $77.78 / $156.87	Facility	26	$68.95	$77.78	$156.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $71.84 / $74.33	Professional	26	$31.16	$71.84	$74.33
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $46.51 / $62.05 / $64.31	Facility	26	$46.51	$62.05	$64.31
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