Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $281.84	Facility		$177.83	$177.83	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $302.00	Professional		$158.49	$177.83	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $380.19	Facility		$251.19	$251.19	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $338.84	Facility		$229.09	$263.03	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $363.08	Professional		$234.42	$288.40	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83