Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.46 / $1,988.00 / $9,997.10	Professional		$665.46	$1,988.00	$9,997.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.00 / $1,971.00 / $1,971.00	Facility		$1,971.00	$1,971.00	$1,971.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $58,629.41 / $64,999.35	Professional		$110.00	$58,629.41	$64,999.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,288.83	Professional		$50.00	$65.00	$1,288.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.64 / $291.64 / $291.64	Facility		$291.64	$291.64	$291.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.00 / $1,971.00 / $1,971.00	Facility		$1,971.00	$1,971.00	$1,971.00