| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $91.53 | $93.97 | $1,027.33 |
Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $91.53 | $93.97 | $1,027.33 |