Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $177.00 / $177.00	Facility		$177.00	$177.00	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $123.98 / $229.03	Facility		$68.25	$123.98	$229.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $158.00 / $203.15	Facility		$35.00	$158.00	$203.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $177.00 / $177.00	Facility		$177.00	$177.00	$177.00