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 $575.44 / $1,202.26 / $23,988.33	Facility		$575.44	$1,202.26	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $912.01	Professional		$707.95	$707.95	$912.01