Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $12,589.25 / $75,857.76	Facility		$1,202.26	$12,589.25	$75,857.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $7,244.36 / $22,908.68	Professional		$1,202.26	$7,244.36	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,595.87 / $19,054.61	Facility		$12,022.64	$16,595.87	$19,054.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,882.50	Facility		$12,022.64	$12,022.64	$12,882.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,238.72 / $22,387.21	Professional		$912.01	$2,238.72	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $8,128.31 / $20,417.38	Professional		$912.01	$8,128.31	$20,417.38