Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.91 / $183.51 / $435.25	Facility	26	$143.91	$183.51	$435.25
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $90.49 / $600.00 / $683.29	Facility	26	$90.49	$600.00	$683.29
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $149.72 / $319.45 / $384.77	Facility	26	$149.72	$319.45	$384.77
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.78 / $184.52 / $310.88	Facility	26	$87.78	$184.52	$310.88
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $90.49 / $90.49 / $136.35	Facility	26	$90.49	$90.49	$136.35