| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $224.00 | $224.00 | $224.00 |
Hlth&Behavior Ivntj Ea 15 Min Grp 2/>Pts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $224.00 | $224.00 | $224.00 |