| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $162.41 | $209.51 | $343.02 |
Roprtj Crtd Teaec > 1 Mo After Original Opratio
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $162.41 | $209.51 | $343.02 |