Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.19 / $179.11 / $292.25	Facility	26	$96.19	$179.11	$292.25
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $725.41 / $725.41 / $725.41	Facility	26	$725.41	$725.41	$725.41
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $83.08 / $186.09 / $3,447.33	Facility	26	$83.08	$186.09	$3,447.33
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $140.22 / $165.80 / $180.23	Facility	26	$140.22	$165.80	$180.23
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $118.69 / $118.69 / $122.93	Facility	26	$118.69	$118.69	$122.93
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,312.81 / $3,312.81 / $5,551.62	Facility	26	$3,312.81	$3,312.81	$5,551.62