Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.01 / $142.60 / $226.30	Facility	26	$106.01	$142.60	$226.30
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $110.59 / $364.85 / $364.85	Facility	26	$110.59	$364.85	$364.85
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.40 / $117.25 / $206.65	Facility	26	$70.40	$117.25	$206.65
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $118.09 / $159.53 / $162.13	Facility	26	$118.09	$159.53	$162.13
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $109.63 / $109.63 / $110.59	Facility	26	$109.63	$109.63	$110.59
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