Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.02 / $350.47 / $558.99	Facility	26	$177.02	$350.47	$558.99
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $324.61 / $714.54 / $714.54	Facility	26	$324.61	$714.54	$714.54
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $151.28 / $341.88 / $490.69	Facility	26	$151.28	$341.88	$490.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $256.30 / $308.38 / $313.56	Facility	26	$256.30	$308.38	$313.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $211.55 / $211.55 / $212.96	Facility	26	$211.55	$211.55	$212.96
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