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 $7.88 / $50.00 / $59.00	Facility		$7.88	$50.00	$59.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $7.88 / $22.00	Professional		$3.74	$7.88	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $32.52	Professional		$26.02	$26.02	$32.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Facility		$7.88	$7.88	$7.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Professional		$7.88	$7.88	$7.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $4.84	Professional		$3.74	$3.74	$4.84