Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.15 / $58.60 / $118.31	Facility	26	$51.15	$58.60	$118.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $53.54 / $55.39	Professional	26	$23.22	$53.54	$55.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $46.26 / $47.60	Facility	26	$34.40	$46.26	$47.60
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