Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $529.05 / $716.33 / $1,129.66	Facility	26	$529.05	$716.33	$1,129.66
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $551.60 / $2,977.00 / $3,485.00	Facility	26	$551.60	$2,977.00	$3,485.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $354.88 / $593.75 / $1,062.76	Facility	26	$354.88	$593.75	$1,062.76
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $603.67 / $797.48 / $811.37	Facility	26	$603.67	$797.48	$811.37
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $549.94 / $549.94 / $551.60	Facility	26	$549.94	$549.94	$551.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,784.45 / $1,784.45 / $3,043.22	Facility	26	$1,784.45	$1,784.45	$3,043.22