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 $50.00 / $57.68 / $80.00	Facility		$50.00	$57.68	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.26 / $57.68	Professional		$9.94	$18.26	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $47.50	Professional		$38.00	$38.00	$47.50
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 $57.68 / $57.68 / $57.68	Facility		$57.68	$57.68	$57.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $57.68 / $57.68	Professional		$57.68	$57.68	$57.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $12.87	Professional		$9.94	$9.94	$12.87