| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,285.40 | $2,443.98 | $2,443.98 |
Expl Orbit Transcranial W/Rmvl Foreign Body
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $2,285.40 | $2,443.98 | $2,443.98 |