| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,377.69 | $2,377.69 | $2,454.10 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 1 Limb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,377.69 | $2,377.69 | $2,454.10 |