Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $15.78	Facility		$6.71	$6.71	$15.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.71 / $7.89	Professional		$6.31	$6.71	$7.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $100.00 / $100.00	Facility		$6.55	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $6.31 / $7.89	Professional		$0.98	$6.31	$7.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $6.71 / $13.42	Facility		$2.68	$6.71	$13.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $6.71 / $6.71	Professional		$0.94	$6.71	$6.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $6.71	Facility		$6.55	$6.55	$6.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.71 / $7.89	Professional		$6.08	$6.71	$7.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58