| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $3,403.40 | $3,650.16 | $3,650.16 |
Surgery-Nervous System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $3,403.40 | $3,650.16 | $3,650.16 |