| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $118.38 | $118.38 | $118.38 |
Dom/R-Home E/M Est Pt Self-Lmtd/Minor 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $118.38 | $118.38 | $118.38 |