| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $33,319.64 | $33,319.64 | $33,319.64 |
Prostatic O R Procedure Unrelated To Principal Diagnosis W Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $33,319.64 | $33,319.64 | $33,319.64 |