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 $10.69 / $92.16 / $514.73	Facility		$10.69	$92.16	$514.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $15.75 / $15.75	Facility		$15.75	$15.75	$15.75