Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $115.25 / $115.25	Professional		$115.25	$115.25	$115.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $107.20 / $107.20	Facility		$107.20	$107.20	$107.20