Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,388.44	Facility		$1,513.56	$2,630.27	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,388.44	Professional		$1,513.56	$2,630.27	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,511.89	Facility		$1,949.84	$2,454.71	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,019.95	Professional		$1,698.24	$2,089.30	$3,019.95