Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.34 / $0.36	Facility		$0.15	$0.34	$0.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.26	Professional		$0.14	$0.15	$0.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $1.39 / $1.67	Professional		$0.28	$1.39	$1.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.24 / $79,999.20	Facility		$0.22	$0.24	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Facility		$0.32	$0.32	$0.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.34 / $0.34	Professional		$0.28	$0.34	$0.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Professional		$5.38	$5.38	$5.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.15	Professional		$0.14	$0.14	$0.15