| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $732.25 | |
Pacific Source
| Facility | $1,100.00 | $1,100.00 | $1,100.00 |
Dialysis / Ultrafiltration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $732.25 | |
Pacific Source
| Facility | $1,100.00 | $1,100.00 | $1,100.00 |