Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $6,918.31	Facility		$407.38	$1,174.90	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $588.84	Facility		$10.96	$35.48	$588.84