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 $543.27 / $4,361.08 / $28,749.85	Facility		$543.27	$4,361.08	$28,749.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.63 / $1,059.38 / $2,089.52	Professional		$827.63	$1,059.38	$2,089.52