| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $612.10 | $789.61 | $1,307.21 |
Emblc/Thrmbc Ax Brach Innominate Subcla Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $612.10 | $789.61 | $1,307.21 |