| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $1,584.89 | $2,089.30 | $2,089.30 | |
Lucent Health
| Professional | $6,309.57 | $6,309.57 | $6,309.57 | |
Providence
| Facility | $288.40 | $851.14 | $1,202.26 | |
Providence
| Professional | $316.23 | $316.23 | $316.23 |