| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $837.70 | $1,029.78 | $1,265.63 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $837.70 | $1,029.78 | $1,265.63 |