| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $49.00 | $195.00 | $330.00 | |
Lucent Health
| Facility | $95.00 | $95.00 | $990.00 |
Skilled Nursing-Other Skilled Nursing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $49.00 | $195.00 | $330.00 | |
Lucent Health
| Facility | $95.00 | $95.00 | $990.00 |