Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $102.33	Facility		$39.81	$85.11	$102.33