| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $17,181.00 | $17,181.00 | $17,181.00 |
Appendectomy With Complicated Principal Diagnosis With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $17,181.00 | $17,181.00 | $17,181.00 |