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 $4.05 / $50.00 / $50.00	Facility		$4.05	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $22.00 / $49.59	Professional		$9.00	$22.00	$49.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $27.36	Professional		$21.89	$21.89	$27.36
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 $4.05 / $4.05 / $4.05	Facility		$4.05	$4.05	$4.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Professional		$4.05	$4.05	$4.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Professional		$16.78	$16.78	$16.78