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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $46.77	Facility		$31.62	$39.81	$46.77