| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $251.76 | $324.77 | $535.12 |
Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $251.76 | $324.77 | $535.12 |