Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.95 / $276.41 / $447.23	Facility	26	$218.95	$276.41	$447.23
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $214.33 / $396.00 / $11,792.25	Facility	26	$214.33	$396.00	$11,792.25
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $199.89 / $360.45 / $19,039.34	Facility	26	$199.89	$360.45	$19,039.34
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $250.88 / $300.68 / $321.60	Facility	26	$250.88	$300.68	$321.60
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $214.33 / $214.33 / $217.44	Facility	26	$214.33	$214.33	$217.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $11,792.25 / $11,792.25 / $17,910.32	Facility	26	$11,792.25	$11,792.25	$17,910.32