Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $104.71 / $112.20	Facility	26	$64.57	$104.71	$112.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $102.33 / $117.49	Professional	26	$91.20	$102.33	$117.49
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $87.10 / $100.00	Facility	26	$72.44	$87.10	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $50.12 / $72.44	Facility	26	$10.96	$50.12	$72.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	26	$2,511.89	$2,511.89	$2,511.89