Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,380.38	Professional		$1,000.00	$1,174.90	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,445.44	Facility		$977.24	$1,348.96	$1,445.44