Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $69.18 / $79.43	Facility	26	$42.66	$69.18	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $67.61 / $74.13	Professional	26	$31.62	$67.61	$74.13
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $61.66 / $64.57	Facility	26	$51.29	$61.66	$64.57
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