Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $732.80 / $2,194.61	Facility		$225.68	$732.80	$2,194.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $810.00 / $810.00	Facility		$810.00	$810.00	$810.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,619.00 / $2,356.00 / $3,455.00	Facility		$1,619.00	$2,356.00	$3,455.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $366.52 / $991.44	Facility		$78.88	$366.52	$991.44