Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $24.55 / $63.10	Facility	26	$15.49	$24.55	$63.10
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $27.54 / $39.81	Facility	26	$18.62	$27.54	$39.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $26.30 / $34.67	Facility	26	$21.38	$26.30	$34.67
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Facility	26	$17.78	$17.78	$17.78