| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15.87 | $17.16 | $22.56 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Level 1 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $15.87 | $17.16 | $22.56 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |