Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $10,232.93	Facility		$2,137.96	$3,311.31	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,677.35	Professional		$2,137.96	$3,235.94	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,073.80	Facility		$2,570.40	$3,235.94	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55