Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $338.83 / $430.33 / $701.48	Facility	26	$338.83	$430.33	$701.48
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $337.03 / $2,263.28 / $2,263.28	Facility	26	$337.03	$2,263.28	$2,263.28
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $334.42 / $650.67	Facility	26	$229.09	$334.42	$650.67
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $402.60 / $469.24 / $501.16	Facility	26	$402.60	$469.24	$501.16
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $334.52 / $337.03 / $337.03	Facility	26	$334.52	$337.03	$337.03
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,158.79 / $2,158.79 / $3,064.39	Facility	26	$2,158.79	$2,158.79	$3,064.39