Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $3,890.45	Facility		$1,479.11	$2,691.53	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,090.30	Facility		$2,511.89	$2,951.21	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,089.30	Facility		$2,041.74	$2,041.74	$2,089.30