| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $576.19 | $878.64 | $878.64 |
Compnstr-Based Beam Modlj Tx Dlvr Inverse 3> Fld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $576.19 | $878.64 | $878.64 |