Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $47,863.01	Facility		$870.96	$6,309.57	$47,863.01
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $46,773.51 / $48,977.88 / $83,176.38	Facility	50	$46,773.51	$48,977.88	$83,176.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,981.07 / $10,232.93	Professional		$870.96	$3,981.07	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $8,709.64	Facility		$4,786.30	$6,025.60	$8,709.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Facility		$4,168.69	$4,168.69	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,584.89 / $7,762.47	Professional		$660.69	$1,584.89	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,818.38 / $8,709.64	Professional		$660.69	$2,818.38	$8,709.64