Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.81 / $118.94 / $232.40	Facility	26	$100.81	$118.94	$232.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $105.52 / $109.16	Professional	26	$45.76	$105.52	$109.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $71.70 / $91.19 / $99.16	Facility	26	$71.70	$91.19	$99.16
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27