| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $129.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |