Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $407.38	Professional		$302.00	$371.54	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $63.10	Facility		$36.31	$51.29	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $134.90	Professional		$114.82	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $891.25	Professional		$245.47	$331.13	$891.25