Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $258.11 / $489.24 / $1,424.16	Facility		$258.11	$489.24	$1,424.16
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