| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $84.43 | $84.43 | $84.43 |
Regence BlueShield
| Facility | 26 | $890.71 | $890.71 | $890.71 |
Card Bl Pool Plnr Mlt Stdy Wal Motn Eject Fract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $84.43 | $84.43 | $84.43 |
Regence BlueShield
| Facility | 26 | $890.71 | $890.71 | $890.71 |