Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.42 / $18.00	Facility		$0.20	$0.42	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.63	Professional		$0.19	$0.22	$0.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $95.00 / $100.00	Facility		$0.20	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.21 / $0.43	Professional		$0.20	$0.21	$0.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.41	Facility		$0.18	$0.18	$0.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.41	Professional		$0.20	$0.20	$0.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.24 / $0.60	Facility		$0.19	$0.24	$0.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.40 / $0.40	Facility		$0.28	$0.40	$0.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.28 / $0.40	Professional		$0.21	$0.28	$0.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.23	Facility		$0.20	$0.20	$0.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.23	Professional		$0.20	$0.20	$0.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20