| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $475.17 | $612.97 | $951.86 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $475.17 | $612.97 | $951.86 |