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 $58.00 / $59.00 / $59.00	Facility		$58.00	$59.00	$59.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $180.25 / $273.70	Facility		$135.00	$180.25	$273.70