Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.60 / $356.16 / $488.40	Facility	26	$238.60	$356.16	$488.40
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $236.47 / $1,587.28 / $1,587.28	Facility	26	$236.47	$1,587.28	$1,587.28
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $168.33 / $231.42 / $427.73	Facility	26	$168.33	$231.42	$427.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $281.95 / $328.60 / $360.10	Facility	26	$281.95	$328.60	$360.10
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $234.44 / $236.47 / $236.47	Facility	26	$234.44	$236.47	$236.47