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 $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
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 $109.65 / $158.49 / $47,863.01	Facility		$109.65	$158.49	$47,863.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $436.52	Facility		$398.11	$398.11	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $758.58	Professional		$398.11	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $676.08	Professional		$346.74	$478.63	$676.08