| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $39.00 | $66.00 | $110.00 |
Macr Exm Diss&Prp Nonmicr Imprnt/Conslt/Frz Se
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $39.00 | $66.00 | $110.00 |