Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $23,442.29	Professional		$1,380.38	$1,698.24	$23,442.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,498.45	Facility		$12,022.64	$15,848.93	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $15,488.17 / $24,547.09	Professional		$1,318.26	$15,488.17	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $8,317.64 / $25,703.96	Professional		$1,071.52	$8,317.64	$25,703.96