Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $10,715.19 / $47,863.01	Facility		$870.96	$10,715.19	$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 $912.01 / $7,943.28 / $22,387.21	Professional		$912.01	$7,943.28	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $14,791.08 / $19,054.61	Facility		$12,302.69	$14,791.08	$19,054.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $11,748.98	Facility		$10,964.78	$10,964.78	$11,748.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,659.59 / $20,417.38	Professional		$691.83	$1,659.59	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $7,244.36 / $20,417.38	Professional		$676.08	$7,244.36	$20,417.38