Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $17.61 / $41.44	Facility		$17.61	$17.61	$41.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.61 / $17.61	Professional		$17.20	$17.61	$17.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.89 / $320.52	Facility		$0.71	$0.89	$320.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $28.49	Professional		$20.72	$20.72	$28.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $50.00	Professional		$17.27	$17.27	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.22 / $79,999.20 / $79,999.20	Facility		$469.22	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.89 / $320.52	Facility		$0.71	$0.89	$320.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72