Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $347.07 / $347.07	Facility		$214.77	$347.07	$347.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $444.78 / $444.78 / $444.78	Professional		$444.78	$444.78	$444.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $82.40 / $82.40	Facility		$82.40	$82.40	$82.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $250.68 / $250.68	Professional		$250.68	$250.68	$250.68
United Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $86.09 / $350.19	Professional		$86.09	$86.09	$350.19