Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $131,825.67 / $229,086.77	Facility		$30,199.52	$131,825.67	$229,086.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $50,118.72	Facility		$588.84	$851.14	$50,118.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,344.23	Professional		$676.08	$1,148.15	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $831.76	Professional		$138.04	$177.83	$831.76