| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Providence
| Facility | $724.44 | $1,047.13 | $1,174.90 |
Compnstr-Based Beam Modlj Tx Dlvr Inverse 3> Fld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Providence
| Facility | $724.44 | $1,047.13 | $1,174.90 |