| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $8.91 | $16.98 | $33.11 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $5.25 | $5.25 | $5.25 | |
Providence
| Facility | $10.72 | $10.72 | $11.22 | |
Providence
| Professional | $10.96 | $10.96 | $11.75 | |
United
| Professional | $5.89 | $5.89 | $12.02 |