Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $7,943.28	Professional		$977.24	$1,202.26	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $8,709.64	Facility		$4,786.30	$6,025.60	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $5,888.44 / $8,511.38	Professional		$954.99	$5,888.44	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,235.94 / $10,000.00	Professional		$776.25	$3,235.94	$10,000.00