| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $121.47 | $183.66 | $183.66 | |
Lucent Health
| Professional | $373.70 | $373.70 | $373.70 |
Oct Skn Img Acquisj I&R Ea Addl Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $121.47 | $183.66 | $183.66 | |
Lucent Health
| Professional | $373.70 | $373.70 | $373.70 |