Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $20,892.96 / $37,153.52	Facility		$7,244.36	$20,892.96	$37,153.52
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 $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $102.33	Facility		$39.81	$85.11	$102.33