Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,786.30 / $16,982.44	Professional		$398.11	$4,786.30	$16,982.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,754.40	Facility		$54.95	$56.23	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Professional		$16,218.10	$16,218.10	$16,218.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,388.44	Facility		$1,949.84	$2,454.71	$3,388.44