| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $363.08 | $363.08 | $398.11 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $707.95 | $1,071.52 | $1,071.52 | |
Providence
| Facility | $199.53 | $199.53 | $199.53 | |
Providence
| Professional | $158.49 | $158.49 | $204.17 | |
United
| Professional | $66.07 | $114.82 | $257.04 |