Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00