Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.11 / $74.92 / $121.97	Facility	26	$38.11	$74.92	$121.97
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $44.85 / $80.00 / $731.61	Facility	26	$44.85	$80.00	$731.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $33.17 / $83.13 / $1,678.39	Facility	26	$33.17	$83.13	$1,678.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $54.45 / $66.08 / $67.67	Facility	26	$54.45	$66.08	$67.67
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $44.85 / $44.85 / $45.24	Facility	26	$44.85	$44.85	$45.24
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