| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $128.74 | $162.62 | $198.98 |
Exclusion Laa Open Tm Strnt/Thrcm Any Method
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $128.74 | $162.62 | $198.98 |