Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.94 / $58.56 / $96.08	Facility	26	$29.94	$58.56	$96.08
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.56 / $121.12 / $121.12	Facility	26	$36.56	$121.12	$121.12
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $26.04 / $55.72 / $70.44	Facility	26	$26.04	$55.72	$70.44
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $42.14 / $52.44 / $53.60	Facility	26	$42.14	$52.44	$53.60
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.56	Facility	26	$36.24	$36.24	$36.56