| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $36.43 | $36.43 | $36.43 | |
Pacific Source
| Facility | $22.77 | $31.96 | $37.52 | |
Providence
| Facility | $39.35 | $42.05 | $42.05 | |
Providence
| Professional | $20.78 | $34.79 | $45.08 | |
United
| Professional | $24.93 | $37.00 | $50.64 |