Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $370.31 / $468.52 / $757.93	Facility	26	$370.31	$468.52	$757.93
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $362.40 / $938.00 / $1,479.91	Facility	26	$362.40	$938.00	$1,479.91
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $262.26 / $580.72 / $705.28	Facility	26	$262.26	$580.72	$705.28
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $428.24 / $508.07 / $550.79	Facility	26	$428.24	$508.07	$550.79
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $362.40 / $362.40 / $366.93	Facility	26	$362.40	$362.40	$366.93