Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.67 / $50.50 / $82.17	Facility	26	$25.67	$50.50	$82.17
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $108.06 / $108.06	Facility	26	$100.00	$108.06	$108.06
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $52.30 / $8,105.48	Facility	26	$28.51	$52.30	$8,105.48
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.88 / $44.66 / $47.57	Facility	26	$37.88	$44.66	$47.57
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $31.53 / $32.15	Facility	26	$31.53	$31.53	$32.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $8,401.03	Facility	26	$5,551.62	$5,551.62	$8,401.03