| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $350.00 | $350.00 | $393.93 | |
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $350.00 | $350.00 | $393.93 | |
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 |