Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.17 / $51.00 / $102.96	Facility	26	$45.17	$51.00	$102.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $46.60 / $48.21	Professional	26	$20.21	$46.60	$48.21
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $31.01 / $40.25 / $42.21	Facility	26	$31.01	$40.25	$42.21
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