| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $11,911.10 | $19,605.89 |
Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $11,911.10 | $19,605.89 |