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 $123.10 / $219.30 / $219.30	Facility		$123.10	$219.30	$219.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $315.54 / $315.54 / $315.54	Professional		$315.54	$315.54	$315.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $80.00	Facility		$57.00	$57.00	$80.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Professional		$142.86	$142.86	$142.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $105.47 / $110.71	Professional		$74.61	$105.47	$110.71