| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $90.00 | $393.93 | $801.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |
Prescrl Fuse W/O Instr L5/S
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $90.00 | $393.93 | $801.00 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |