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 $125.15 / $286.44 / $286.44	Facility		$125.15	$286.44	$286.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $95.49 / $205.28	Facility		$89.31	$95.49	$205.28