Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.38 / $55.76 / $110.74	Facility	26	$34.38	$55.76	$110.74
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.88 / $136.22 / $136.22	Facility	26	$70.88	$136.22	$136.22
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $34.89 / $65.97 / $109.56	Facility	26	$34.89	$65.97	$109.56
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.57 / $59.13 / $61.64	Facility	26	$45.57	$59.13	$61.64
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.22 / $41.22 / $42.04	Facility	26	$41.22	$41.22	$42.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $385.75	Facility	26	$211.40	$211.40	$385.75