Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.56 / $922.56 / $922.56	Professional		$922.56	$922.56	$922.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $705.51 / $705.51	Facility		$579.15	$705.51	$705.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.44 / $909.59 / $909.59	Facility		$813.44	$909.59	$909.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.89 / $848.00 / $975.20	Professional		$458.89	$848.00	$975.20