Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $134.90 / $158.49	Facility	26	$85.11	$134.90	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $134.90 / $147.91	Professional	26	$63.10	$134.90	$147.91
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $123.03 / $125.89	Facility	26	$102.33	$123.03	$125.89
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