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 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.80 / $818.17 / $916.42	Facility		$414.80	$818.17	$916.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.89 / $1,590.89 / $1,590.89	Professional		$1,590.89	$1,590.89	$1,590.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.23 / $278.44 / $656.67	Facility		$205.23	$278.44	$656.67