Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.20 / $70.70 / $135.41	Facility	26	$49.20	$70.70	$135.41
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.84 / $181.68 / $181.68	Facility	26	$54.84	$181.68	$181.68
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $43.80 / $75.31 / $132.28	Facility	26	$43.80	$75.31	$132.28
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $65.95 / $79.38 / $93.80	Facility	26	$65.95	$79.38	$93.80
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.36 / $54.36 / $54.84	Facility	26	$54.36	$54.36	$54.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $217.18 / $217.18 / $354.01	Facility	26	$217.18	$217.18	$354.01