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 $107.94 / $192.42 / $194.52	Facility		$107.94	$192.42	$194.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $416.24 / $416.24	Professional		$231.28	$416.24	$416.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $76.38 / $106.95	Facility		$48.80	$76.38	$106.95