Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.01 / $79.16 / $143.96	Facility	26	$65.01	$79.16	$143.96
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $81.31 / $219.84 / $219.84	Facility	26	$81.31	$219.84	$219.84
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $108.02 / $2,246.13	Facility	26	$48.98	$108.02	$2,246.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $73.11 / $88.02 / $99.83	Facility	26	$73.11	$88.02	$99.83
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.70 / $60.70 / $60.78	Facility	26	$60.70	$60.70	$60.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,570.62 / $1,570.62 / $2,505.71	Facility	26	$1,570.62	$1,570.62	$2,505.71