Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.25 / $16.76 / $29.77	Facility	26	$10.25	$16.76	$29.77
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $80.00 / $80.00	Facility	26	$70.00	$80.00	$80.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $11.07 / $20.46 / $290.81	Facility	26	$11.07	$20.46	$290.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $14.84 / $17.79 / $18.09	Facility	26	$14.84	$17.79	$18.09
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.23 / $12.23 / $12.34	Facility	26	$12.23	$12.23	$12.34
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