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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $121.00 / $315.77	Facility		$121.00	$121.00	$315.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $158.00 / $200.00	Facility		$125.00	$158.00	$200.00