| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $808.65 | $1,009.93 | $1,009.93 |
Compnstr-Based Beam Modlj Tx Dlvr Inverse 3> Fld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $808.65 | $1,009.93 | $1,009.93 |