| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,241.06 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,785.50 | $6,838.00 | $9,778.34 | |
Providence
| Facility | $1,785.50 | $6,838.00 | $9,778.34 |
Rescj Prim Prtl Mal W/Bso & Omntc Tah & Lmphad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,241.06 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,785.50 | $6,838.00 | $9,778.34 | |
Providence
| Facility | $1,785.50 | $6,838.00 | $9,778.34 |