Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $300.00 / $19,479.00	Facility		$141.00	$300.00	$19,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $10,000.00 / $10,000.00	Facility		$4,002.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,957.00 / $14,957.00 / $15,555.00	Facility		$14,957.00	$14,957.00	$15,555.00