Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $28.84 / $48.98	Facility	26	$14.13	$28.84	$48.98
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $24.55 / $33.11	Facility	26	$15.49	$24.55	$33.11
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $25.70 / $27.54	Facility	26	$21.38	$25.70	$27.54
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.78	Facility	26	$17.38	$17.38	$17.78