Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $2,137.96	Professional		$398.11	$478.63	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,238.72	Facility		$1,288.25	$1,621.81	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,548.82 / $2,290.87	Professional		$389.05	$1,548.82	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $870.96 / $2,630.27	Professional		$309.03	$870.96	$2,630.27