Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.91 / $42.52 / $123.55	Facility	26	$31.91	$42.52	$123.55
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.08 / $147.54 / $147.54	Facility	26	$31.08	$147.54	$147.54
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $33.17 / $62.06 / $86.06	Facility	26	$33.17	$62.06	$86.06
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.38 / $45.56 / $68.34	Facility	26	$37.38	$45.56	$68.34
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.80 / $30.80 / $31.08	Facility	26	$30.80	$30.80	$31.08