| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $15.94 | $105.57 | $105.57 |
Appl Mltlayr Compres System Upper & Lower Arm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $15.94 | $105.57 | $105.57 |