Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $436.52 / $588.84	Facility	26	$295.12	$436.52	$588.84
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $489.78 / $5,128.61	Facility	26	$338.84	$489.78	$5,128.61
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $398.11 / $436.52	Facility	26	$346.74	$398.11	$436.52
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	26	$2,137.96	$2,137.96	$2,137.96