Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.53 / $221.95 / $286.83	Facility	26	$138.53	$221.95	$286.83
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $239.35 / $460.02 / $460.02	Facility	26	$239.35	$460.02	$460.02
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $99.81 / $216.05 / $352.68	Facility	26	$99.81	$216.05	$352.68
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $162.19 / $196.76 / $206.70	Facility	26	$162.19	$196.76	$206.70
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $936.81 / $936.81 / $1,640.24	Facility	26	$936.81	$936.81	$1,640.24