| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $18.92 | $18.92 | $25.00 | |
Providence
| Facility | $600,000.00 | $600,000.00 | $600,000.00 |
Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $18.92 | $18.92 | $25.00 | |
Providence
| Facility | $600,000.00 | $600,000.00 | $600,000.00 |