Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,183.83 / $1,183.83 / $1,183.83	Professional		$1,183.83	$1,183.83	$1,183.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.60 / $905.84 / $905.84	Facility		$743.60	$905.84	$905.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.70 / $1,167.86 / $1,167.86	Facility		$1,044.70	$1,167.86	$1,167.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.35 / $1,088.80 / $1,252.11	Professional		$589.35	$1,088.80	$1,252.11