| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $211.90 | $211.90 | $217.58 |
Evasc Rpr Iliac Art W/Ilio-Iliac Prosth Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $211.90 | $211.90 | $217.58 |