| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $118.50 | $224.00 | $439.00 | |
Lucent Health
| Facility | $1,400.00 | $1,400.00 | $1,400.00 |
Behavioral Health Treatments/Services - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $118.50 | $224.00 | $439.00 | |
Lucent Health
| Facility | $1,400.00 | $1,400.00 | $1,400.00 |