| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $69.65 | $69.65 | $161.57 | |
Providence
| Facility | $194.16 | $194.16 | $194.16 |
Injection Anesthetic Agent Spinal Accessory Nrv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $69.65 | $69.65 | $161.57 | |
Providence
| Facility | $194.16 | $194.16 | $194.16 |