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 $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $42.66 / $74.13	Facility		$25.12	$42.66	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $70.79	Professional		$66.07	$66.07	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $64.57	Professional		$30.20	$30.20	$64.57