Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.54 / $34.74 / $56.74	Facility	26	$17.54	$34.74	$56.74
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $15.50 / $35.61 / $635.38	Facility	26	$15.50	$35.61	$635.38
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $25.29 / $30.47 / $31.49	Facility	26	$25.29	$30.47	$31.49
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.84 / $20.84 / $21.02	Facility	26	$20.84	$20.84	$21.02
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $782.93	Facility	26	$446.45	$446.45	$782.93