| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $764.23 | $1,016.43 | $1,629.34 |
Thrsc Crtj Prcrd Window/Prtl Rescj Prcrd Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $764.23 | $1,016.43 | $1,629.34 |