| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $729.64 | $941.24 | $1,554.49 |
Rmvl I-Aort Balo Asst Dev W/Rpr Fem Art W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $729.64 | $941.24 | $1,554.49 |