Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $424.84 / $572.38 / $898.10	Facility	26	$424.84	$572.38	$898.10
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $441.92 / $1,462.36 / $1,462.36	Facility	26	$441.92	$1,462.36	$1,462.36
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $271.68 / $450.24 / $768.87	Facility	26	$271.68	$450.24	$768.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $469.91 / $636.16 / $647.89	Facility	26	$469.91	$636.16	$647.89
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $439.41 / $439.41 / $441.92	Facility	26	$439.41	$439.41	$441.92