Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $211.83 / $211.83	Facility		$71.05	$211.83	$211.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $358.72 / $358.72	Professional		$252.30	$358.72	$358.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $83.03 / $107.25	Facility		$52.95	$83.03	$107.25