| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $98.33 | $245.73 | $245.73 | |
Lucent Health
| Professional | $245.73 | $245.73 | $245.73 | |
Providence
| Professional | $1,800,000.00 | $2,400,000.00 | $2,400,000.00 |