| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $697.93 | $1,195.68 | $1,269.44 |
Prolonged Extracorporeal Circulation Ea Addl Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $697.93 | $1,195.68 | $1,269.44 |