| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.26 | $60.26 | $85.11 | |
Providence
| Facility | $891.25 | $891.25 | $891.25 |
Unspecified Endodontic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.26 | $60.26 | $85.11 | |
Providence
| Facility | $891.25 | $891.25 | $891.25 |