Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $54.31 / $118.81	Facility		$41.76	$54.31	$118.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.00 / $177.00	Facility		$100.00	$177.00	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $114.38 / $229.03	Facility		$68.25	$114.38	$229.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $150.75 / $190.00	Facility		$35.00	$150.75	$190.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $177.00 / $177.00	Facility		$177.00	$177.00	$177.00