| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Providence
| Facility | $544.75 | $579.25 | $2,400,000.00 | |
Providence
| Professional | $1,800,000.00 | $1,800,000.00 | $2,400,000.00 |