| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,412.54 | $1,737.80 | $1,905.46 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,412.54 | $1,737.80 | $1,905.46 |