Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $156.00 / $234.00	Facility		$156.00	$156.00	$234.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $246.00 / $359.06	Facility		$149.35	$246.00	$359.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $219.22 / $950.00	Facility		$172.00	$219.22	$950.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $200.00 / $260.00	Facility		$122.00	$200.00	$260.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $246.00 / $341.11	Facility		$213.20	$246.00	$341.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $267.13 / $267.13 / $267.13	Facility		$267.13	$267.13	$267.13