Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.23 / $82.23 / $88.18	Facility	26	$82.23	$82.23	$88.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $81.31 / $92.56	Professional	26	$57.49	$81.31	$92.56
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $56.80 / $70.03 / $97.60	Facility	26	$56.80	$70.03	$97.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,064.39 / $3,064.39 / $3,064.39	Facility	26	$3,064.39	$3,064.39	$3,064.39