| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,071.52 | $1,348.96 | $1,584.89 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,071.52 | $1,348.96 | $1,584.89 |