| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $151.36 | $165.96 | $190.55 | |
Providence
| Facility | $4,897.79 | $4,897.79 | $4,897.79 |
New Technology - Level 22 ($2001-$2500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $151.36 | $165.96 | $190.55 | |
Providence
| Facility | $4,897.79 | $4,897.79 | $4,897.79 |