Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.64 / $56.92 / $114.94	Facility	26	$49.64	$56.92	$114.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $52.85 / $54.67	Professional	26	$22.92	$52.85	$54.67
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.46 / $44.40 / $46.23	Facility	26	$32.46	$44.40	$46.23
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