Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $199.53	Professional		$154.88	$177.83	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $144.54	Facility		$20.42	$23.99	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $213.80	Professional		$77.62	$141.25	$213.80