Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $7,943.28	Facility		$1,412.54	$4,677.35	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $79.43	Professional		$32.36	$50.12	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,137.96 / $2,137.96	Facility		$831.76	$2,137.96	$2,137.96