Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $398.11	Professional		$302.00	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $478.63	Facility		$269.15	$338.84	$478.63