Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.25 / $73.54 / $148.40	Facility	26	$65.25	$73.54	$148.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.49 / $68.00 / $70.34	Professional	26	$29.49	$68.00	$70.34
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $43.12 / $58.71 / $59.99	Facility	26	$43.12	$58.71	$59.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,526.97 / $1,526.97 / $1,526.97	Facility	26	$1,526.97	$1,526.97	$1,526.97