Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $6,165.95	Facility		$489.78	$1,174.90	$6,165.95