Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $54.95 / $91.20	Facility	26	$28.18	$54.95	$91.20
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $61.66 / $1,819.70	Facility	26	$39.81	$61.66	$1,819.70
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $48.98 / $51.29	Facility	26	$39.81	$48.98	$51.29
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.88	Facility	26	$33.11	$33.11	$33.88
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