| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,132.11 | $1,460.43 | $2,426.88 |
Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,132.11 | $1,460.43 | $2,426.88 |