Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $0.07	Facility		$0.03	$0.07	$0.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $85.00 / $100.00	Facility		$0.02	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $4.45 / $5.72	Professional		$0.03	$4.45	$5.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Facility		$0.03	$0.03	$0.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $85.00 / $93.50	Professional		$76.50	$85.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $79,999.20	Facility		$0.02	$0.02	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03