| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $772.54 | $1,014.30 | $1,333.80 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $772.54 | $1,014.30 | $1,333.80 |