| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,445.44 | $1,995.26 | $2,137.96 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,445.44 | $1,995.26 | $2,137.96 |