| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $9,853.20 | $9,853.20 | $9,853.20 |
Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $9,853.20 | $9,853.20 | $9,853.20 |