Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $14,454.40 / $25,703.96	Facility		$3,311.31	$14,454.40	$25,703.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
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 $107.15 / $162.18 / $1,819.70	Facility		$107.15	$162.18	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $346.74	Facility		$239.88	$239.88	$346.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $478.63	Professional		$239.88	$407.38	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $371.54	Professional		$138.04	$173.78	$371.54