Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $7.26 / $7.26	Facility		$7.26	$7.26	$7.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.26 / $9.38	Professional		$5.93	$7.26	$9.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $885.11 / $885.11	Facility		$85.00	$885.11	$885.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $41.25 / $52.00	Professional		$20.64	$41.25	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $18.35 / $18.76	Facility		$12.31	$18.35	$18.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $51.18 / $51.18	Professional		$51.18	$51.18	$51.18