Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $741.31 / $954.99	Facility	26	$588.84	$741.31	$954.99
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $977.24 / $13,803.84	Facility	26	$537.03	$977.24	$13,803.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $812.83 / $831.76	Facility	26	$676.08	$812.83	$831.76
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $575.44	Facility	26	$562.34	$562.34	$575.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	26	$5,754.40	$5,754.40	$5,754.40