| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $845.17 | $1,394.68 | $1,687.12 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $845.17 | $1,394.68 | $1,687.12 |