Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $45.71 / $52.48	Facility	26	$28.18	$45.71	$52.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $43.65 / $48.98	Professional	26	$20.42	$43.65	$48.98
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $40.74 / $42.66	Facility	26	$33.11	$40.74	$42.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90