Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.60 / $24.12 / $62.44	Facility	26	$15.60	$24.12	$62.44
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $115.00 / $115.00	Facility	26	$100.00	$115.00	$115.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $19.14 / $34.17 / $44.09	Facility	26	$19.14	$34.17	$44.09
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $21.43 / $26.13 / $34.84	Facility	26	$21.43	$26.13	$34.84
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $17.67 / $17.82	Facility	26	$17.67	$17.67	$17.82