Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QK	$221.20	$221.20	$296.10
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QX	$221.20	$221.20	$296.10
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QY	$221.20	$221.20	$296.10