Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $2,420.77 / $27,653.23	Facility		$358.70	$2,420.77	$27,653.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.47 / $982.10 / $1,403.71	Professional		$699.47	$982.10	$1,403.71