| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $28,188.00 | $28,188.00 | $28,188.00 |
Medical/Surgical Supplies and Devices-Pacemaker
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $28,188.00 | $28,188.00 | $28,188.00 |