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 $2,705.82 / $2,980.24 / $11,500.00	Facility		$2,705.82	$2,980.24	$11,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,179.00 / $2,364.00 / $4,135.00	Facility		$2,179.00	$2,364.00	$4,135.00