| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $30,199.52 | $61,659.50 | $134,896.29 | |
Kaiser Permanente
| Professional | $28,840.32 | $42,657.95 | $63,095.73 | |
Pacific Source
| Facility | $23,988.33 | $39,810.72 | $52,480.75 | |
United
| Professional | $234.42 | $234.42 | $234.42 |