Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.72 / $275.72 / $275.72	Facility		$275.72	$275.72	$275.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $126.00 / $135.68	Facility		$69.00	$126.00	$135.68