Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $440.46 / $558.29 / $705.87	Facility	26	$440.46	$558.29	$705.87
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $431.41 / $2,992.32 / $5,745.35	Facility	26	$431.41	$2,992.32	$5,745.35
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $402.75 / $702.26 / $863.59	Facility	26	$402.75	$702.26	$863.59
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $415.36 / $625.88 / $632.48	Facility	26	$415.36	$625.88	$632.48
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $431.41 / $431.41 / $431.41	Facility	26	$431.41	$431.41	$431.41
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,745.35 / $5,745.35 / $9,980.91	Facility	26	$5,745.35	$5,745.35	$9,980.91