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 $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Professional		$229.09	$229.09	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $107.15	Facility		$45.71	$69.18	$107.15