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 $6.40 / $50.00 / $50.00	Facility		$6.40	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.73 / $28.55	Professional		$4.75	$8.73	$28.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $32.52	Professional		$26.02	$26.02	$32.52
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 $120.44 / $120.44 / $120.44	Facility		$120.44	$120.44	$120.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $6.40 / $6.40	Facility		$6.40	$6.40	$6.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $6.40	Professional		$6.40	$6.40	$6.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $6.15	Professional		$4.75	$4.75	$6.15