Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $37.15 / $63.10	Facility	26	$19.50	$37.15	$63.10
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $42.66 / $1,819.70	Facility	26	$27.54	$42.66	$1,819.70
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $33.88 / $34.67	Facility	26	$28.18	$33.88	$34.67
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $23.44	Facility	26	$22.91	$22.91	$23.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44