Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $691.83	Facility		$46.77	$117.49	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $50.12	Facility		$25.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19