| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $576.66 | $683.90 | $1,126.38 | |
United
| Facility | $950.00 | $950.00 | $950.00 |
Rescj Lip > One-Fourth W/O Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $576.66 | $683.90 | $1,126.38 | |
United
| Facility | $950.00 | $950.00 | $950.00 |