Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.93 / $56.07 / $113.16	Facility	26	$48.93	$56.07	$113.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $51.22 / $52.98	Professional	26	$22.21	$51.22	$52.98
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.83 / $44.26 / $45.56	Facility	26	$32.83	$44.26	$45.56
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