| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $8,458.66 | $15,411.90 | $22,742.56 | |
Regence BlueShield
| Facility | $9,283.79 | $13,427.93 | $18,176.50 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $8,458.66 | $15,411.90 | $22,742.56 | |
Regence BlueShield
| Facility | $9,283.79 | $13,427.93 | $18,176.50 |