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 / $2,332.21	Facility		$200.00	$200.00	$2,332.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $57.00 / $524.00	Facility		$46.23	$57.00	$524.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00