Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.43 / $493.43 / $493.43	Professional		$493.43	$493.43	$493.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.22 / $399.32 / $445.00	Facility		$290.22	$399.32	$445.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.65 / $577.50 / $577.50	Facility		$547.65	$577.50	$577.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $476.03 / $623.41	Professional		$382.93	$476.03	$623.41