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 $20.14 / $50.00 / $50.00	Facility		$20.14	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $11.68 / $49.59	Professional		$5.04	$11.68	$49.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $15.49	Professional		$12.39	$12.39	$15.49
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 $20.14 / $20.14 / $20.14	Facility		$20.14	$20.14	$20.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53