Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $521.38 / $671.33 / $1,077.22	Facility	26	$521.38	$671.33	$1,077.22
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $524.57 / $981.00 / $1,734.83	Facility	26	$524.57	$981.00	$1,734.83
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $370.45 / $825.05 / $1,002.00	Facility	26	$370.45	$825.05	$1,002.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $611.03 / $729.03 / $783.90	Facility	26	$611.03	$729.03	$783.90
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $524.57 / $524.57 / $525.09	Facility	26	$524.57	$524.57	$525.09