Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $65.04 / $65.04	Facility		$0.02	$65.04	$65.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.01	Professional		$5.01	$5.01	$8.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $50.00 / $50.00	Facility		$11.36	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.91 / $28.55	Professional		$6.48	$11.91	$28.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $21.17	Professional		$16.93	$16.93	$21.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Facility		$21.79	$21.79	$21.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $8.39	Professional		$6.48	$6.48	$8.39