| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $4,218.31 | $6,471.39 | $8,853.10 |
Lvr Altrnsplj Orthotopic Prtl/Whl Don Any Age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $4,218.31 | $6,471.39 | $8,853.10 |