Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $8,128.31 / $47,863.01	Facility		$954.99	$8,128.31	$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 $954.99 / $4,677.35 / $12,589.25	Professional		$954.99	$4,677.35	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $10,000.00	Facility		$6,309.57	$7,585.78	$10,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,888.44	Facility		$5,495.41	$5,495.41	$5,888.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,737.80 / $10,471.29	Professional		$724.44	$1,737.80	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,715.35 / $10,964.78	Professional		$724.44	$3,715.35	$10,964.78