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 $70.00 / $90.00 / $90.00	Facility		$70.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $43.81 / $44.52	Facility		$43.81	$43.81	$44.52