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 $21.46 / $50.00 / $50.00	Facility		$21.46	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $24.40 / $122.99	Professional		$6.34	$24.40	$122.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $40.78	Professional		$32.63	$32.63	$40.78
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 $21.46 / $21.46 / $21.46	Facility		$21.46	$21.46	$21.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $21.46	Professional		$21.46	$21.46	$21.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Facility		$122.99	$122.99	$122.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Professional		$122.99	$122.99	$122.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $8.21	Professional		$6.34	$6.34	$8.21