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 $15.26 / $15.26 / $1,013.83	Facility		$15.26	$15.26	$1,013.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.66 / $2.22	Facility		$0.19	$0.66	$2.22