Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $3,019.95	Facility		$1,148.15	$2,137.96	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,398.83	Facility		$1,819.70	$2,344.23	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,073.80	Facility		$1,621.81	$1,621.81	$4,073.80