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 $0.15 / $0.15 / $0.26	Professional		$0.15	$0.15	$0.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $90.00 / $100.00	Facility		$3.01	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $3.20 / $4.07	Professional		$0.36	$3.20	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.48 / $0.48	Facility		$0.35	$0.48	$0.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.17 / $3.17	Facility		$3.01	$3.17	$3.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.54 / $4.07	Professional		$3.01	$3.54	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.36	Professional		$0.19	$0.22	$0.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39