Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $38.90 / $58.88	Facility	26	$21.38	$38.90	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.11 / $39.81	Professional	26	$28.84	$33.11	$39.81
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $39.81 / $64.57	Facility	26	$21.38	$39.81	$64.57
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $30.20 / $31.62	Facility	26	$25.12	$30.20	$31.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25