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 $62.98 / $62.98 / $62.98	Facility		$62.98	$62.98	$62.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $846.00 / $846.00	Facility		$846.00	$846.00	$846.00