Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $50.00 / $50.00	Facility		$36.61	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $9.97 / $25.50	Professional		$4.61	$9.97	$25.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $19.62	Professional		$15.69	$15.69	$19.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Professional		$36.61	$36.61	$36.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $5.97	Professional		$4.61	$4.61	$5.97