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 $2,471.42 / $3,358.04 / $3,510.13	Facility		$2,471.42	$3,358.04	$3,510.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,154.72 / $4,468.13 / $4,468.13	Facility		$4,154.72	$4,468.13	$4,468.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $664.76 / $664.76 / $664.76	Facility	80	$664.76	$664.76	$664.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	AS	$565.04	$565.04	$565.04