Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,416.62 / $2,059.66 / $5,101.84	Facility		$1,416.62	$2,059.66	$5,101.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.90 / $2,131.00 / $79,999.20	Facility		$838.90	$2,131.00	$79,999.20