| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $3,726.00 | $3,726.00 | $3,726.00 |
Other Antepartum Diagnoses W O Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $3,726.00 | $3,726.00 | $3,726.00 |