Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $50.00 / $100.00	Facility		$19.03	$50.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $33.32 / $106.73	Professional		$18.89	$33.32	$106.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $24.78 / $31.16	Professional		$22.37	$24.78	$31.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $19.10 / $28.14	Facility		$13.98	$19.10	$28.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.03 / $19.19	Facility		$19.03	$19.03	$19.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $27.38 / $35.61	Professional		$18.89	$27.38	$35.61