Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $139.00 / $393.93	Professional		$99.00	$139.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $200.00	Facility		$100.00	$120.00	$200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $125.00	Professional		$110.00	$110.00	$125.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $227.00	Professional		$227.00	$227.00	$227.00