Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $1.37 / $3.04	Facility		$1.37	$1.37	$3.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.37 / $1.37	Professional		$1.26	$1.37	$1.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $41.15 / $263.14	Facility		$31.65	$41.15	$263.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $2.22	Professional		$1.52	$1.52	$2.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.27 / $79,999.20 / $79,999.20	Facility		$271.27	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $39.56 / $263.14	Facility		$31.65	$39.56	$263.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52