| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $168.36 | $217.18 | $362.37 |
Repositioning Perq R/L Vad W/Img Gdn Sep Insj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $168.36 | $217.18 | $362.37 |