Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,698.24	Professional		$398.11	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $1,905.46	Facility		$1,819.70	$1,905.46	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $891.25 / $1,230.27	Facility		$338.84	$891.25	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19