Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $312.70 / $399.58 / $649.61	Facility	26	$312.70	$399.58	$649.61
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $313.93 / $2,130.23 / $5,624.10	Facility	26	$313.93	$2,130.23	$5,624.10
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $290.70 / $524.23 / $10,775.99	Facility	26	$290.70	$524.23	$10,775.99
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $377.95 / $440.31 / $471.24	Facility	26	$377.95	$440.31	$471.24
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $313.93 / $313.93 / $314.87	Facility	26	$313.93	$313.93	$314.87
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,624.10 / $5,624.10 / $9,482.39	Facility	26	$5,624.10	$5,624.10	$9,482.39