| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $90.00 | $350.00 | $393.93 | |
Lucent Health
| Facility | $479.11 | $1,120.53 | $1,120.53 | |
Lucent Health
| Professional | $963.73 | $963.73 | $963.73 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 20 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $90.00 | $350.00 | $393.93 | |
Lucent Health
| Facility | $479.11 | $1,120.53 | $1,120.53 | |
Lucent Health
| Professional | $963.73 | $963.73 | $963.73 |