| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $648.15 | $929.33 | $1,583.27 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $648.15 | $929.33 | $1,583.27 |