| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $344.88 | $519.74 | $665.81 |
Asuris Northwest Health
| Facility | 54 | $606.38 | $1,085.10 | $1,085.10 |
Clsd Tx Acromioclavicular Dislc W/Manipulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $344.88 | $519.74 | $665.81 |
Asuris Northwest Health
| Facility | 54 | $606.38 | $1,085.10 | $1,085.10 |