Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $93.33 / $158.49	Facility	26	$52.48	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $89.13 / $104.71	Professional	26	$72.44	$89.13	$104.71
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $79.43 / $93.33	Facility	26	$66.07	$79.43	$93.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81