Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.94 / $191.79 / $254.06	Facility	26	$121.94	$191.79	$254.06
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $203.34 / $392.09 / $392.09	Facility	26	$203.34	$392.09	$392.09
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $179.26 / $232.45	Facility	26	$86.18	$179.26	$232.45
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $136.71 / $170.07 / $178.22	Facility	26	$136.71	$170.07	$178.22