Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.21 / $51.00 / $102.81	Facility	26	$45.21	$51.00	$102.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.54 / $47.36 / $49.00	Professional	26	$20.54	$47.36	$49.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $30.52 / $40.86 / $42.21	Facility	26	$30.52	$40.86	$42.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68