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 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $97.66 / $124.17	Facility		$64.00	$97.66	$124.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.00 / $45.94	Facility		$5.25	$12.00	$45.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $42.53 / $42.53	Professional		$42.53	$42.53	$42.53