Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $102.33 / $117.49	Facility	26	$64.57	$102.33	$117.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $97.72 / $109.65	Professional	26	$46.77	$97.72	$109.65
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $89.13 / $95.50	Facility	26	$69.18	$89.13	$95.50
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	26	$4,073.80	$4,073.80	$4,073.80