Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.26 / $54.00	Facility		$0.17	$0.26	$54.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $85.00 / $85.00	Facility		$0.15	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.16 / $0.20	Professional		$0.03	$0.16	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.17 / $0.34	Facility		$0.12	$0.17	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $79,999.20 / $79,999.20	Facility		$0.03	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.18	Professional		$0.14	$0.16	$0.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17