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 / $302.17	Facility		$171.00	$171.00	$302.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $90.00 / $117.74	Facility		$45.00	$90.00	$117.74