Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $72.44 / $79.43	Facility	26	$45.71	$72.44	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $67.61 / $75.86	Professional	26	$32.36	$67.61	$75.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $61.66 / $67.61	Facility	26	$51.29	$61.66	$67.61
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90