Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $83.47 / $83.47	Professional		$61.64	$83.47	$83.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,000.00 / $10,000.00	Facility		$100.00	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,000.00 / $10,000.00	Professional		$100.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $385.20 / $385.20	Professional		$385.20	$385.20	$385.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $80.00	Professional		$50.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Facility		$37.20	$37.20	$37.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00