| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $181.97 | $181.97 | $257.04 | |
Medcost
| Facility | $54.95 | $70.79 | $120.23 |
Mod Sedatj Diff Phys/Qhp <5 Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $181.97 | $181.97 | $257.04 | |
Medcost
| Facility | $54.95 | $70.79 | $120.23 |