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 $65.00 / $255.78 / $350.00	Facility		$65.00	$255.78	$350.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $258.29 / $258.29	Professional		$228.75	$258.29	$258.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $69.09 / $103.09	Facility		$44.63	$69.09	$103.09