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 $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $48.98	Facility		$21.38	$27.54	$48.98