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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $181.97 / $851.14	Facility		$38.02	$181.97	$851.14