| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $57.23 | $68.66 | $121.57 |
Cholecyst Oral Cntrst Addl/Repeat Xm/Mult Day Xm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $57.23 | $68.66 | $121.57 |