| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $794.33 | $1,023.29 | $1,621.81 | |
Providence
| Facility | $776.25 | $1,148.15 | $1,905.46 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $794.33 | $1,023.29 | $1,621.81 | |
Providence
| Facility | $776.25 | $1,148.15 | $1,905.46 |