Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $23,988.33	Facility		$977.24	$1,412.54	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,737.80	Professional		$776.25	$1,318.26	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,258.93	Facility		$1,023.29	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Facility		$831.76	$831.76	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,819.70	Professional		$851.14	$1,380.38	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,698.24	Professional		$776.25	$1,000.00	$1,698.24