Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $79.43 / $87.10	Facility	26	$50.12	$79.43	$87.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $75.86 / $85.11	Professional	26	$36.31	$75.86	$85.11
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $69.18 / $72.44	Facility	26	$58.88	$69.18	$72.44
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