| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,254.03 | $2,997.86 | $4,894.21 |
Rescj/Exc Les Infratempor Fossa Space Apex Xdrl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,254.03 | $2,997.86 | $4,894.21 |