| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,263.33 | $1,616.91 | $2,111.09 |
Musc Myocutaneous/Fasciocutaneous Flap Head&Nc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,263.33 | $1,616.91 | $2,111.09 |