| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $66.07 | $66.07 | $75.86 | |
Medcost
| Facility | $19.50 | $26.30 | $43.65 |
Moderate Sedatj Diff Phys/Qhp Ea Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $66.07 | $66.07 | $75.86 | |
Medcost
| Facility | $19.50 | $26.30 | $43.65 |