| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Regence BlueShield
| Facility | $67.16 | $92.92 | $133.40 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Regence BlueShield
| Facility | $67.16 | $92.92 | $133.40 |