Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.23 / $271.98 / $443.93	Facility	26	$217.23	$271.98	$443.93
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $211.13 / $395.00 / $11,792.25	Facility	26	$211.13	$395.00	$11,792.25
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $198.61 / $358.16 / $19,039.34	Facility	26	$198.61	$358.16	$19,039.34
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $249.90 / $298.30 / $318.92	Facility	26	$249.90	$298.30	$318.92
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $211.13 / $211.13 / $215.63	Facility	26	$211.13	$211.13	$215.63
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