| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $13,500.30 | $15,714.45 | $17,910.59 |
Other Antepartum Diagnoses W Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $13,500.30 | $15,714.45 | $17,910.59 |