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 $145.00 / $154.75 / $175.58	Facility		$145.00	$154.75	$175.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.75 / $208.75 / $208.75	Facility		$208.75	$208.75	$208.75