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 $419.26 / $699.21 / $699.21	Facility		$419.26	$699.21	$699.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $868.28 / $868.28 / $868.28	Professional		$868.28	$868.28	$868.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $192.00 / $192.00	Facility		$183.00	$192.00	$192.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $485.11 / $485.11	Professional		$485.11	$485.11	$485.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $120.00 / $144.00	Professional		$80.00	$120.00	$144.00