| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $2,332.21 | |
Pacific Source
| Facility | $16.32 | $427.05 | $2,442.15 |
Professional Fees - Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $2,332.21 | |
Pacific Source
| Facility | $16.32 | $427.05 | $2,442.15 |