Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $463.17 / $698.60 / $960.53	Facility	26	$463.17	$698.60	$960.53
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $463.87 / $3,147.76 / $5,624.10	Facility	26	$463.87	$3,147.76	$5,624.10
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $430.34 / $776.01 / $10,775.99	Facility	26	$430.34	$776.01	$10,775.99
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $543.78 / $652.00 / $696.32	Facility	26	$543.78	$652.00	$696.32
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $463.87 / $463.87 / $465.23	Facility	26	$463.87	$463.87	$465.23
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