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 $437.69 / $719.85 / $719.85	Facility		$437.69	$719.85	$719.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $906.47 / $906.47 / $906.47	Professional		$906.47	$906.47	$906.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $201.00 / $201.00	Facility		$191.00	$201.00	$201.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $506.53 / $506.53 / $506.53	Professional		$506.53	$506.53	$506.53