Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $4,073.80	Facility		$1,905.46	$3,311.31	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,235.94	Facility		$2,344.23	$3,019.95	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Facility		$2,137.96	$2,137.96	$2,187.76