Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.05 / $342.50 / $510.54	Facility	26	$175.05	$342.50	$510.54
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $316.25 / $681.22 / $681.22	Facility	26	$316.25	$681.22	$681.22
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $150.97 / $324.58 / $1,138.35	Facility	26	$150.97	$324.58	$1,138.35
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $238.83 / $297.01 / $317.56	Facility	26	$238.83	$297.01	$317.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $205.65 / $205.65 / $211.55	Facility	26	$205.65	$205.65	$211.55
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $936.81	Facility	26	$782.93	$782.93	$936.81