Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.42 / $50.67 / $82.37	Facility	26	$25.42	$50.67	$82.37
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $80.00 / $731.61	Facility	26	$30.35	$80.00	$731.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $22.32 / $55.97 / $1,678.39	Facility	26	$22.32	$55.97	$1,678.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.95 / $44.26 / $45.56	Facility	26	$32.95	$44.26	$45.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $30.35 / $30.62	Facility	26	$30.35	$30.35	$30.62
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $1,177.68	Facility	26	$731.61	$731.61	$1,177.68