| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $302.76 | $390.56 | $634.96 |
Strtctc Impltj Nstim Eltrd W/O Record Ea Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $302.76 | $390.56 | $634.96 |