| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $19,223.40 | $19,223.40 | $19,223.40 |
Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $19,223.40 | $19,223.40 | $19,223.40 |