Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.72 / $265.85 / $435.44	Facility	26	$135.72	$265.85	$435.44
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $1,122.16 / $1,122.16	Facility	26	$346.39	$1,122.16	$1,122.16
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $129.81 / $267.83 / $539.79	Facility	26	$129.81	$267.83	$539.79
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $195.25 / $236.57 / $241.20	Facility	26	$195.25	$236.57	$241.20
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $161.72 / $161.72 / $162.24	Facility	26	$161.72	$161.72	$162.24
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