Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $105.35 / $173.55 / $266.27	Facility		$105.35	$173.55	$266.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.00 / $314.68	Facility		$100.00	$177.00	$314.68
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 / $174.00 / $230.00	Facility		$35.00	$174.00	$230.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $177.00 / $314.68	Facility		$177.00	$177.00	$314.68