Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $3.10	Facility		$1.32	$1.32	$3.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.32 / $1.32	Professional		$1.29	$1.32	$1.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $2.02 / $4.15	Facility		$0.76	$2.02	$4.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $2.64	Facility		$1.32	$1.32	$2.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $3.40 / $79,999.20	Facility		$2.12	$3.40	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.96 / $3.32	Facility		$1.01	$1.96	$3.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.43 / $3.01	Facility		$0.76	$1.43	$3.01