| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $1,091.93 | $1,091.93 | $1,464.14 |
Obltrj Aortopulmonary Septal Defect W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $1,091.93 | $1,091.93 | $1,464.14 |