Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.02 / $237.66 / $387.75	Facility	26	$125.02	$237.66	$387.75
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $237.78 / $531.37 / $531.37	Facility	26	$237.78	$531.37	$531.37
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $106.33 / $236.85 / $13,984.77	Facility	26	$106.33	$236.85	$13,984.77
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $181.83 / $219.09 / $230.48	Facility	26	$181.83	$219.09	$230.48
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $153.57 / $153.57 / $157.21	Facility	26	$153.57	$153.57	$157.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,254.52 / $9,254.52 / $14,373.77	Facility	26	$9,254.52	$9,254.52	$14,373.77