Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.51 / $82.88 / $166.77	Facility	26	$73.51	$82.88	$166.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $76.30 / $78.93	Professional	26	$33.09	$76.30	$78.93
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $48.93 / $66.08 / $67.67	Facility	26	$48.93	$66.08	$67.67
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