| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $35,481.34 | $35,481.34 | $35,481.34 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |
Professional Fees (Extension of 096X and 097X)-Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $35,481.34 | $35,481.34 | $35,481.34 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |