Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $398.11 / $1,698.24	Professional		$104.71	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $125.89	Facility		$57.54	$81.28	$125.89