Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.89 / $19.23 / $31.49	Facility	26	$9.89	$19.23	$31.49
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $19.70 / $290.81	Facility	26	$10.19	$19.70	$290.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $13.23 / $17.12 / $17.42	Facility	26	$13.23	$17.12	$17.42
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $11.78 / $11.88	Facility	26	$11.78	$11.78	$11.88
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $385.75	Facility	26	$211.40	$211.40	$385.75