Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $467.74 / $575.44	Facility	26	$295.12	$467.74	$575.44
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $512.86 / $13,803.84	Facility	26	$331.13	$512.86	$13,803.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $426.58 / $446.68	Facility	26	$363.08	$426.58	$446.68
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41