| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Regence BlueShield
| Facility | $4,870.00 | $23,526.27 | $28,980.00 |
Aftercare, Muscskl Syst & Conn Tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Regence BlueShield
| Facility | $4,870.00 | $23,526.27 | $28,980.00 |