| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.22 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $561.82 | $2,961.65 | $4,146.31 | |
Providence
| Facility | $561.82 | $2,961.65 | $4,146.31 |
Arthroscopy, temporomandibular joint, surgical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.22 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $561.82 | $2,961.65 | $4,146.31 | |
Providence
| Facility | $561.82 | $2,961.65 | $4,146.31 |