| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,699.58 | $2,330.48 | $2,526.57 | |
Providence
| Facility | $2,929.34 | $3,138.07 | $3,138.07 | |
Providence
| Professional | $2,269.79 | $2,845.44 | $3,637.62 |
Obltrj Aortopulmonary Septal Defect W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,699.58 | $2,330.48 | $2,526.57 | |
Providence
| Facility | $2,929.34 | $3,138.07 | $3,138.07 | |
Providence
| Professional | $2,269.79 | $2,845.44 | $3,637.62 |