Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $201.00 / $314.68	Facility		$201.00	$201.00	$314.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $174.00 / $240.00	Facility		$125.00	$174.00	$240.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $201.00 / $314.68	Facility		$201.00	$201.00	$314.68