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 / $121.00	Facility		$121.00	$121.00	$121.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $140.00 / $234.38	Facility		$132.00	$140.00	$234.38