Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.80 / $38.82 / $62.66	Facility	26	$19.80	$38.82	$62.66
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.85 / $100.00 / $731.61	Facility	26	$22.85	$100.00	$731.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $22.06 / $42.80 / $1,678.39	Facility	26	$22.06	$42.80	$1,678.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $33.15 / $34.84	Facility	26	$26.46	$33.15	$34.84
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.85 / $22.85 / $23.56	Facility	26	$22.85	$22.85	$23.56
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