Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.76 / $82.45 / $137.11	Facility	26	$41.76	$82.45	$137.11
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.28 / $100.00 / $175.23	Facility	26	$50.28	$100.00	$175.23
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $36.89 / $81.92 / $103.18	Facility	26	$36.89	$81.92	$103.18
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $60.99 / $72.95 / $77.94	Facility	26	$60.99	$72.95	$77.94
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.28 / $50.28 / $50.73	Facility	26	$50.28	$50.28	$50.73