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 $6.07 / $50.00 / $50.00	Facility		$6.07	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $9.00 / $49.59	Professional		$3.31	$9.00	$49.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $31.49	Professional		$25.19	$25.19	$31.49
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 $6.07 / $6.07 / $6.07	Facility		$6.07	$6.07	$6.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.07 / $6.07	Professional		$6.07	$6.07	$6.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29