Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $196.62 / $196.62 / $263.20	Professional	QK	$196.62	$196.62	$263.20
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $196.62 / $196.62 / $263.20	Professional	QX	$196.62	$196.62	$263.20
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $196.62 / $196.62 / $263.20	Professional	QY	$196.62	$196.62	$263.20