Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.83 / $39.11 / $190.86	Facility	26	$23.83	$39.11	$190.86
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.33 / $50.00 / $95.38	Facility	26	$28.33	$50.00	$95.38
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.16 / $51.16 / $60.97	Facility	26	$27.16	$51.16	$60.97
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $41.54 / $42.88	Facility	26	$27.28	$41.54	$42.88
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.33 / $28.33 / $28.54	Facility	26	$28.33	$28.33	$28.54