| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $2,077.66 | $2,077.66 | $2,077.66 |
Principal diagnosis invalid as discharge diagnosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $2,077.66 | $2,077.66 | $2,077.66 |