Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $182.00 / $246.00	Facility		$36.31	$182.00	$246.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $55.23 / $198.00	Facility		$43.00	$55.23	$198.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $46.50 / $154.75	Facility		$31.00	$46.50	$154.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $246.00 / $246.00	Facility		$182.00	$246.00	$246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $81.64 / $81.64	Facility		$81.64	$81.64	$81.64