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 $180.39 / $321.18 / $321.18	Facility		$180.39	$321.18	$321.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $381.56 / $431.39 / $431.39	Professional		$381.56	$431.39	$431.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $130.00	Facility		$100.00	$100.00	$130.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $207.26 / $207.26	Professional		$207.26	$207.26	$207.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $77.25 / $92.70	Professional		$51.50	$77.25	$92.70