| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,120.00 | $1,313.95 | $2,067.56 |
Surgery-Eye & Ocular Adnexa
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $1,120.00 | $1,313.95 | $2,067.56 |