| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $383.04 | $383.04 | $383.04 | |
Providence
| Facility | $142.86 | $155.61 | $181.86 |
Postop Biliary Stone Rmvl Prq T-Tube Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $383.04 | $383.04 | $383.04 | |
Providence
| Facility | $142.86 | $155.61 | $181.86 |