Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $172.60 / $172.60	Facility	26	$100.00	$172.60	$172.60
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $37.20 / $74.33 / $116.25	Facility	26	$37.20	$74.33	$116.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $62.69 / $75.31 / $76.38	Facility	26	$62.69	$75.31	$76.38