Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Professional		$59.92	$59.92	$59.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.43 / $139.08 / $163.47	Facility		$101.43	$139.08	$163.47