Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.97 / $76.26 / $115.31	Facility	26	$37.97	$76.26	$115.31
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.57 / $100.00 / $158.93	Facility	26	$47.57	$100.00	$158.93
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $30.38 / $67.42 / $87.75	Facility	26	$30.38	$67.42	$87.75
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $50.96 / $65.66 / $71.02	Facility	26	$50.96	$65.66	$71.02
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.57 / $47.57 / $48.44	Facility	26	$47.57	$47.57	$48.44