| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,520.79 | $2,540.19 | $2,883.87 |
Musc Myocutaneous/Fasciocutaneous Flap Head&Nc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,520.79 | $2,540.19 | $2,883.87 |