Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $28,840.32	Professional		$1,412.54	$1,737.80	$28,840.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $20,417.38 / $28,183.83	Facility		$16,982.44	$20,417.38	$28,183.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $21,379.62 / $30,902.95	Professional		$1,380.38	$21,379.62	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $12,022.64 / $35,481.34	Professional		$1,122.02	$12,022.64	$35,481.34