Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.06 / $85.55 / $171.67	Facility	26	$78.06	$85.55	$171.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.19 / $78.84 / $81.69	Professional	26	$34.19	$78.84	$81.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $51.36 / $68.42 / $72.36	Facility	26	$51.36	$68.42	$72.36
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27