Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $5,128.61	Facility		$2,137.96	$4,265.80	$5,128.61
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 $12.02 / $213.80 / $2,187.76	Facility		$12.02	$213.80	$2,187.76