| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,185.60 | $1,529.44 | $2,523.52 |
Evasc Rpr Dplmnt Ilio-Iliac Ndgft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,185.60 | $1,529.44 | $2,523.52 |