Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $165.00 / $190.00	Facility		$150.00	$165.00	$190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,154.27 / $9,154.27 / $15,476.46	Facility		$9,154.27	$9,154.27	$15,476.46