Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $45.27 / $72.29	Facility	26	$22.39	$45.27	$72.29
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.18 / $100.00 / $949.44	Facility	26	$27.18	$100.00	$949.44
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $25.46 / $49.65 / $2,162.39	Facility	26	$25.46	$49.65	$2,162.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.07 / $39.28 / $41.48	Facility	26	$29.07	$39.28	$41.48
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.18 / $27.18 / $27.42	Facility	26	$27.18	$27.18	$27.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $1,526.97	Facility	26	$949.44	$949.44	$1,526.97