Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $74.13 / $85.11	Facility	26	$45.71	$74.13	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $70.79 / $79.43	Professional	26	$33.88	$70.79	$79.43
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $66.07 / $67.61	Facility	26	$54.95	$66.07	$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