Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.34 / $36.22 / $59.25	Facility	26	$18.34	$36.22	$59.25
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 $19.98 / $37.14 / $290.81	Facility	26	$19.98	$37.14	$290.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $24.01 / $32.15 / $32.83	Facility	26	$24.01	$32.15	$32.83
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.94 / $21.94 / $22.20	Facility	26	$21.94	$21.94	$22.20
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