| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $137.25 | $150.06 | $195.30 |
Prolonged Svc I/P Or Obs Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $137.25 | $150.06 | $195.30 |