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 $171.00 / $171.00 / $315.77	Facility		$171.00	$171.00	$315.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $199.32 / $247.59	Facility		$135.00	$199.32	$247.59