| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,584.36 | $3,333.82 | $5,594.22 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,584.36 | $3,333.82 | $5,594.22 |