Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $246.30 / $246.30 / $246.30	Facility		$246.30	$246.30	$246.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $1,250.00	Facility		$38.54	$38.54	$1,250.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54