Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.75 / $48.56 / $80.66	Facility	26	$24.75	$48.56	$80.66
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $129.00 / $129.00	Facility	26	$100.00	$129.00	$129.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $21.90 / $50.02 / $1,368.97	Facility	26	$21.90	$50.02	$1,368.97
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $42.70 / $44.89	Facility	26	$35.71	$42.70	$44.89
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.71 / $29.71 / $29.90	Facility	26	$29.71	$29.71	$29.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $936.81 / $936.81 / $1,640.24	Facility	26	$936.81	$936.81	$1,640.24