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 $294.98 / $403.34 / $456.00	Facility		$294.98	$403.34	$456.00
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 $355.18 / $462.22 / $639.35	Professional		$355.18	$462.22	$639.35