Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $64.57 / $75.86	Facility	26	$40.74	$64.57	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $63.10 / $70.79	Professional	26	$29.51	$63.10	$70.79
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $58.88 / $60.26	Facility	26	$47.86	$58.88	$60.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	26	$1,513.56	$1,513.56	$1,513.56