| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $557.55 | $655.95 | $1,393.13 | |
Providence
| Facility | $446.98 | $655.95 | $1,393.13 |
Subsequent 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 | $557.55 | $655.95 | $1,393.13 | |
Providence
| Facility | $446.98 | $655.95 | $1,393.13 |