Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $2,754.23	Professional		$645.65	$794.33	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,754.23	Facility		$1,659.59	$1,995.26	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,995.26 / $2,884.03	Professional		$602.56	$1,995.26	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,348.96 / $3,162.28	Professional		$501.19	$1,348.96	$3,162.28