| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $141.25 | $213.80 | $19,054.61 | |
United
| Facility | $60,255.96 | $63,095.73 | $66,069.34 |
Loa - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $141.25 | $213.80 | $19,054.61 | |
United
| Facility | $60,255.96 | $63,095.73 | $66,069.34 |