Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.35 / $65.08 / $131.27	Facility	26	$56.35	$65.08	$131.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $59.42 / $61.47	Professional	26	$25.77	$59.42	$61.47
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.28 / $51.37 / $52.93	Facility	26	$38.28	$51.37	$52.93
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