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 $15.03 / $50.00 / $50.00	Facility		$15.03	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $15.03 / $28.55	Professional		$6.48	$15.03	$28.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $28.08 / $35.11	Professional		$28.08	$28.08	$35.11
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 $15.03 / $15.03 / $15.03	Facility		$15.03	$15.03	$15.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Professional		$15.03	$15.03	$15.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $8.39	Professional		$6.48	$6.48	$8.39