| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $165.96 | $269.15 | $1,584.89 |
Evasc Rpr Iliac Art W/Ilio-Iliac Prosth Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $165.96 | $269.15 | $1,584.89 |