Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.40 / $79,999.20	Facility		$15.26	$15.40	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $17.46 / $25.75	Facility		$10.91	$17.46	$25.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.91 / $11.93	Professional		$10.88	$10.91	$11.93