Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,344.23 / $5,495.41	Facility		$309.03	$2,344.23	$5,495.41
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