Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $371.57 / $552.52	Facility	26	$190.55	$371.57	$552.52
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $753.90 / $753.90	Facility	26	$346.39	$753.90	$753.90
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $159.65 / $354.17 / $502.50	Facility	26	$159.65	$354.17	$502.50
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $260.49 / $320.27 / $332.32	Facility	26	$260.49	$320.27	$332.32
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $224.24 / $224.24 / $226.67	Facility	26	$224.24	$224.24	$226.67
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $851.78	Facility	26	$346.39	$346.39	$851.78