Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $73.90 / $73.90	Facility		$73.90	$73.90	$73.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $45.00 / $50.00	Facility		$29.00	$45.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $180.88 / $855.44	Facility		$37.40	$180.88	$855.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $43.75 / $50.00	Facility		$25.00	$43.75	$50.00