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 / $732.25	Facility		$200.00	$200.00	$732.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $2,390.33	Facility		$1,100.00	$1,100.00	$2,390.33