so the important thing there is those big differences are not necessarily crippen -- this is just a simple test -- by differences in the availability of high-tech services. supervisor campos: going back to the point that was raised by the prior speaker, labor costs being a main driver of the cost differentiation between northern and southern california, what does this show about that? >> certainly, there is a big difference. for san francisco, it is 123%, so it is 23% hired to run a hospital here than it does in los angeles. the cost of running it. the same hospital from los angeles, move it here, same staff, everything, 23% more. so there is a cost of living difference reflected in those prices. but as you will see, the bottom half of this slide, we are looking at commercial prices. what do health plans pay? los angeles, commercial plans on average $4135,0035,000. that is before you adjust for cost differences. the next slide takes into account that if the mover hospital from los angeles to san francisco, it costs more. again, looking at the right hand side, that difference of 170% to 140