Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $2,861.21	Professional		$393.93	$393.93	$2,861.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $4,671.35 / $11,678.40	Facility		$4,671.35	$4,671.35	$11,678.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,218.60 / $10,218.60 / $11,678.40	Professional		$10,218.60	$10,218.60	$11,678.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,058.24 / $4,058.24 / $4,058.24	Facility		$4,058.24	$4,058.24	$4,058.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,211.56 / $3,211.56 / $3,649.50	Professional		$3,211.56	$3,211.56	$3,649.50