| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $366.22 | $366.22 | $393.93 | |
Lucent Health
| Facility | $248.18 | $541.99 | $570.52 | |
Lucent Health
| Professional | $570.52 | $641.84 | $641.84 | |
Providence
| Professional | $150.47 | $156.88 | $213.95 |