Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.91 / $43.17 / $123.55	Facility	26	$31.91	$43.17	$123.55
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $147.54 / $147.54	Facility	26	$31.53	$147.54	$147.54
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $33.47 / $62.64 / $86.06	Facility	26	$33.47	$62.64	$86.06
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.93 / $46.23 / $68.34	Facility	26	$37.93	$46.23	$68.34
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.80 / $30.80 / $31.53	Facility	26	$30.80	$30.80	$31.53