| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $20.34 | $20.34 | $82.43 | |
Providence
| Facility | $600,000.00 | $600,000.00 | $600,000.00 |
Influenza Vacc Iiv4 Split Virus Prsrv Free Id
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $20.34 | $20.34 | $82.43 | |
Providence
| Facility | $600,000.00 | $600,000.00 | $600,000.00 |