| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $59.10 | $75.00 | $77.73 | |
Pacific Source
| Facility | $45.65 | $55.61 | $79,999.20 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 | |
United
| Facility | $30.00 | $30.00 | $30.00 |