| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $519.15 | $692.68 | $692.68 |
Gi Pthgn Mult Rev Trans&Amp Prb Tech 22 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $519.15 | $692.68 | $692.68 |