Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.84 / $88.64 / $208.75	Facility	26	$69.84	$88.64	$208.75
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $69.92 / $161.56 / $316.70	Facility	26	$69.92	$161.56	$316.70
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $71.92 / $154.13 / $188.16	Facility	26	$71.92	$154.13	$188.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $83.93 / $102.51 / $146.19	Facility	26	$83.93	$102.51	$146.19
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $69.92 / $69.92 / $70.22	Facility	26	$69.92	$69.92	$70.22