Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $350.00 / $393.93	Professional		$90.00	$350.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,647.62 / $3,647.62 / $6,163.22	Facility		$3,647.62	$3,647.62	$6,163.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,804.60 / $8,804.60 / $8,804.60	Professional		$8,804.60	$8,804.60	$8,804.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,767.16 / $2,767.16 / $2,892.94	Professional		$2,767.16	$2,767.16	$2,892.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,515.60 / $2,515.60 / $2,515.60	Professional		$2,515.60	$2,515.60	$2,515.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,012.48 / $3,270.28 / $4,779.64	Professional		$2,012.48	$3,270.28	$4,779.64