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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $48.00 / $154.75	Facility		$31.00	$48.00	$154.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $916.15 / $939.97 / $963.47	Facility		$916.15	$939.97	$963.47