Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,019.95 / $28,183.83	Facility		$549.54	$3,019.95	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Professional		$524.81	$524.81	$691.83