| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,174.90 | $2,137.96 | $2,691.53 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,174.90 | $2,137.96 | $2,691.53 |