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 $144.97 / $541.45 / $541.45	Facility		$144.97	$541.45	$541.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $131.90 / $219.47	Facility		$17.10	$131.90	$219.47