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 $4,168.76 / $5,083.49 / $5,869.81	Facility		$4,168.76	$5,083.49	$5,869.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,385.44 / $8,385.44 / $8,385.44	Professional		$8,385.44	$8,385.44	$8,385.44