Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.25 / $5.37	Facility		$2.63	$5.25	$5.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $10.47	Professional		$9.77	$9.77	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $10.72	Professional		$5.25	$5.25	$10.72