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 $2,152.15 / $2,921.87 / $3,059.89	Facility		$2,152.15	$2,921.87	$3,059.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,623.94 / $3,892.34 / $3,892.34	Facility		$3,623.94	$3,892.34	$3,892.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $492.86 / $492.86 / $492.86	Facility	AS	$492.86	$492.86	$492.86