| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $440.00 | $440.00 | $687.00 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 20Mev/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $440.00 | $440.00 | $687.00 |