| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $576.65 | $670.20 | $1,218.54 | |
United
| Facility | $950.00 | $950.00 | $950.00 |
Exc Lip Full Thkns Rcnstj W/Local Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $576.65 | $670.20 | $1,218.54 | |
United
| Facility | $950.00 | $950.00 | $950.00 |