Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,162.28	Facility		$1,230.27	$1,862.09	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,511.89	Facility		$2,041.74	$2,398.83	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $6,456.54	Facility		$1,698.24	$1,737.80	$6,456.54