| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $50.00 | $50.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Unspecified Fixed Prosthodontic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $50.00 | $50.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |