Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.73 / $2,287.38 / $2,401.94	Facility		$1,680.73	$2,287.38	$2,401.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $3,058.27 / $3,058.27	Facility		$2,853.06	$3,058.27	$3,058.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.02 / $388.02 / $388.02	Facility	AS	$388.02	$388.02	$388.02