| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,014.65 | $1,014.65 | $1,044.26 |
Prolonged Extracorporeal Circulation Ea Addl Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,014.65 | $1,014.65 | $1,044.26 |