| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $21,567.56 | $21,567.56 | $21,567.56 |
Cranial Facial Procedures W Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $21,567.56 | $21,567.56 | $21,567.56 |