| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $284.89 | $284.89 | $284.89 |
Providence
| Facility | QX | $284.89 | $284.89 | $284.89 |
Anes Iper Lwr Abd W/Laps Tubal Ligation/Transect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $284.89 | $284.89 | $284.89 |
Providence
| Facility | QX | $284.89 | $284.89 | $284.89 |