Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.79 / $83.39 / $168.20	Facility	26	$57.79	$83.39	$168.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.15 / $76.44 / $79.08	Professional	26	$33.15	$76.44	$79.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $54.96 / $66.06 / $76.16	Facility	26	$54.96	$66.06	$76.16
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