Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $158.00 / $230.00 / $283.36	Facility		$158.00	$230.00	$283.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $1,137.00 / $6,004.00	Facility		$478.00	$1,137.00	$6,004.00