Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $155.88 / $320.00	Professional		$76.22	$155.88	$320.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $65.00 / $92.00	Professional		$56.00	$65.00	$92.00