Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.09 / $47.86 / $93.09	Facility	26	$29.09	$47.86	$93.09
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.88 / $115.03 / $115.03	Facility	26	$34.88	$115.03	$115.03
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $25.11 / $52.36 / $66.54	Facility	26	$25.11	$52.36	$66.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.69 / $50.02 / $52.26	Facility	26	$39.69	$50.02	$52.26
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.28 / $34.28 / $34.88	Facility	26	$34.28	$34.28	$34.88