| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $597.05 | $597.05 | $710.54 | |
Providence
| Facility | $893.18 | $893.18 | $893.18 |
Surgery-Musculoskeletal System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $597.05 | $597.05 | $710.54 | |
Providence
| Facility | $893.18 | $893.18 | $893.18 |