Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.09 / $20.02 / $37.54	Facility	26	$10.09	$20.02	$37.54
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.88 / $100.00 / $2,533.52	Facility	26	$11.88	$100.00	$2,533.52
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $22.34 / $5,739.12	Facility	26	$8.68	$22.34	$5,739.12
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $14.30 / $17.42 / $20.77	Facility	26	$14.30	$17.42	$20.77
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.88 / $11.88 / $12.23	Facility	26	$11.88	$11.88	$12.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,533.52 / $2,533.52 / $4,053.27	Facility	26	$2,533.52	$2,533.52	$4,053.27