Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,298.80 / $6,298.80 / $6,298.80	Professional		$6,298.80	$6,298.80	$6,298.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,955.60 / $4,818.64 / $4,818.64	Facility		$3,955.60	$4,818.64	$4,818.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $2,625.00 / $6,216.00	Facility		$2,625.00	$2,625.00	$6,216.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,625.00 / $2,625.00	Professional		$2,625.00	$2,625.00	$2,625.00