| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $151.36 | $173.78 | $208.93 | |
Pacific Source
| Facility | $3.39 | $3.39 | $3.39 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $151.36 | $173.78 | $208.93 | |
Pacific Source
| Facility | $3.39 | $3.39 | $3.39 |