| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2.23 | $4.97 | $6.80 | |
Pacific Source
| Facility | $2.24 | $2.80 | $79,999.20 | |
Providence
| Facility | $3.26 | $6.58 | $10.52 | |
Providence
| Professional | $3.18 | $3.26 | $6.58 | |
United
| Professional | $2.24 | $2.24 | $2.24 |