Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.01 / $34.36 / $69.40	Facility	26	$30.01	$34.36	$69.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $31.41 / $32.49	Professional	26	$13.62	$31.41	$32.49
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $20.83 / $27.14 / $28.81	Facility	26	$20.83	$27.14	$28.81
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