| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $482.34 | $482.34 | $482.34 | |
Providence
| Facility | $562.82 | $562.82 | $562.82 |
Application Intervertebral Biomechanical Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $482.34 | $482.34 | $482.34 | |
Providence
| Facility | $562.82 | $562.82 | $562.82 |