Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $14,454.40	Facility		$1,513.56	$2,818.38	$14,454.40
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 $75.86 / $346.74 / $912.01	Facility		$75.86	$346.74	$912.01