| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $518.24 | $739.95 | $999.42 |
Asuris Northwest Health
| Facility | 54 | $861.85 | $1,551.35 | $1,551.35 |
Closed treatment of knee dislocation; without anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $518.24 | $739.95 | $999.42 |
Asuris Northwest Health
| Facility | 54 | $861.85 | $1,551.35 | $1,551.35 |