| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $464.79 | $464.79 | $528.71 | |
Providence
| Facility | $675.35 | $675.35 | $675.35 |
Surgery-Musculoskeletal System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $464.79 | $464.79 | $528.71 | |
Providence
| Facility | $675.35 | $675.35 | $675.35 |