| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $1,405.00 | $7,775.00 | $400,000.00 | |
Sentara
| Facility | $12,896.00 | $13,329.00 | $14,447.00 |
Loa - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $1,405.00 | $7,775.00 | $400,000.00 | |
Sentara
| Facility | $12,896.00 | $13,329.00 | $14,447.00 |