| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $104.71 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $190.55 | $190.55 | $194.98 | |
Lucent Health
| Professional | $229.09 | $229.09 | $416.87 | |
Providence
| Facility | $56.23 | $79.43 | $125.89 |