| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $925.94 | $1,089.33 | $2,267.60 | |
Providence
| Facility | $751.41 | $1,089.33 | $2,267.60 |
Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $925.94 | $1,089.33 | $2,267.60 | |
Providence
| Facility | $751.41 | $1,089.33 | $2,267.60 |