| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $571.71 | $897.58 | $1,009.26 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/O Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $571.71 | $897.58 | $1,009.26 |