Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,156.17 / $1,376.55	Professional		$1,006.20	$1,156.17	$1,376.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $974.81 / $1,348.04 / $1,447.87	Facility		$974.81	$1,348.04	$1,447.87