Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $4,265.80	Professional		$2,238.72	$2,511.89	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,370.32 / $5,370.32	Facility		$3,981.07	$5,370.32	$5,370.32