Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $3,905.03 / $6,798.81 / $27,383.17	Facility		$3,905.03	$6,798.81	$27,383.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $7,738.00 / $10,401.00	Facility		$5,034.00	$7,738.00	$10,401.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,725.00 / $12,300.00 / $35,587.00	Facility		$6,725.00	$12,300.00	$35,587.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $158.00	Facility		$158.00	$158.00	$158.00