Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.90 / $58.08 / $95.41	Facility	26	$29.90	$58.08	$95.41
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $35.19 / $100.00 / $125.91	Facility	26	$35.19	$100.00	$125.91
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $33.52 / $65.37 / $74.42	Facility	26	$33.52	$65.37	$74.42
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.71 / $51.59 / $55.38	Facility	26	$38.71	$51.59	$55.38
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $35.19 / $35.19 / $35.79	Facility	26	$35.19	$35.19	$35.79