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 $313.50 / $535.26 / $535.26	Facility		$313.50	$535.26	$535.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $649.25 / $649.25 / $649.25	Professional		$649.25	$649.25	$649.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $143.00 / $143.00	Facility		$136.00	$143.00	$143.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.34 / $361.34 / $361.34	Professional		$361.34	$361.34	$361.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $103.20 / $123.84	Professional		$68.80	$103.20	$123.84