Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.48 / $28.33 / $49.11	Facility	26	$14.48	$28.33	$49.11
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $13.02 / $28.12 / $35.99	Facility	26	$13.02	$28.12	$35.99
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $21.07 / $25.84 / $27.47	Facility	26	$21.07	$25.84	$27.47
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.21 / $17.21 / $17.82	Facility	26	$17.21	$17.21	$17.82