Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $697.38 / $804.24 / $844.84	Facility		$697.38	$804.24	$844.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $107.97 / $107.97	Facility		$107.97	$107.97	$107.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $55.06 / $145.00	Facility		$46.23	$55.06	$145.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $107.97 / $107.97	Facility		$107.97	$107.97	$107.97