Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.54 / $78.92 / $159.24	Facility	26	$72.54	$78.92	$159.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $72.08 / $74.56	Professional	26	$31.26	$72.08	$74.56
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $48.45 / $62.29 / $67.00	Facility	26	$48.45	$62.29	$67.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68