Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $589.79 / $589.79	Professional		$589.79	$589.79	$589.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.48 / $396.25 / $79,999.20	Facility		$345.48	$396.25	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.76 / $243.71 / $281.58	Facility		$233.76	$243.71	$281.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $280.79 / $281.58	Professional		$238.23	$280.79	$281.58