Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Facility		$15.17	$15.17	$15.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $31.84 / $90.00	Facility		$20.95	$31.84	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $17.85 / $19.80	Professional		$16.64	$17.85	$19.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $50.36	Facility		$16.64	$16.64	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Facility		$12.07	$12.07	$12.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $30.17 / $46.09	Facility		$20.95	$30.17	$46.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $16.64 / $18.39	Professional		$14.19	$16.64	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.30 / $23.60	Professional		$15.32	$17.30	$23.60