Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.14 / $42.00 / $84.55	Facility	26	$38.14	$42.00	$84.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $38.28 / $39.60	Professional	26	$16.60	$38.28	$39.60
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $25.19 / $33.15 / $34.84	Facility	26	$25.19	$33.15	$34.84
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