Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $30,199.52	Professional		$1,479.11	$1,819.70	$30,199.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $21,379.62 / $26,915.35	Facility		$18,197.01	$21,379.62	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $30,199.52	Facility		$30,199.52	$30,199.52	$30,199.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $22,387.21 / $32,359.37	Professional		$1,380.38	$22,387.21	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $11,748.98 / $34,673.69	Professional		$1,174.90	$11,748.98	$34,673.69