Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $297.66 / $385.03 / $595.88	Facility	26	$297.66	$385.03	$595.88
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $300.79 / $2,052.08 / $5,551.62	Facility	26	$300.79	$2,052.08	$5,551.62
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $266.52 / $492.64 / $8,977.36	Facility	26	$266.52	$492.64	$8,977.36
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $360.64 / $425.48 / $451.52	Facility	26	$360.64	$425.48	$451.52
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $300.79 / $300.79 / $302.99	Facility	26	$300.79	$300.79	$302.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $8,401.03	Facility	26	$5,551.62	$5,551.62	$8,401.03