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 $16.35 / $422.37 / $2,440.52	Facility		$16.35	$422.37	$2,440.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,288,000.00 / $3,288,000.00 / $3,288,000.00	Facility		$3,288,000.00	$3,288,000.00	$3,288,000.00