| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $18.30 | $27.46 | $75.27 | |
Providence
| Facility | $18.30 | $27.46 | $75.27 |
Checkout Orthotic/Prosthetic Estab Pt Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $18.30 | $27.46 | $75.27 | |
Providence
| Facility | $18.30 | $27.46 | $75.27 |