| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,583.10 | $2,583.10 | $2,676.74 |
Insj Graft Aorta/Great Vessel W/Shun
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,583.10 | $2,583.10 | $2,676.74 |