Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $112.20	Professional		$36.31	$63.10	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $120.23	Professional		$57.54	$93.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $89.13	Professional		$27.54	$34.67	$89.13