Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $776.25	Professional		$630.96	$707.95	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $912.01 / $3,630.78	Facility		$223.87	$912.01	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659,586.91 / $1,659,586.91 / $1,659,586.91	Facility		$1,659,586.91	$1,659,586.91	$1,659,586.91
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,621.81	Professional		$724.44	$1,096.48	$1,621.81