Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.84 / $51.39 / $84.53	Facility	26	$25.84	$51.39	$84.53
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $117.00 / $117.00	Facility	26	$100.00	$117.00	$117.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $28.70 / $52.30 / $490.69	Facility	26	$28.70	$52.30	$490.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.40 / $45.35 / $46.90	Facility	26	$37.40	$45.35	$46.90
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
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $851.78	Facility	26	$346.39	$346.39	$851.78