Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $676.00 / $676.00	Professional		$676.00	$676.00	$676.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $270.00 / $317.00	Professional		$222.00	$270.00	$317.00