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
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00