| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $885.06 | $1,110.46 | $1,188.47 | |
Providence
| Facility | $885.06 | $1,110.46 | $1,188.47 |
Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator convergent beam modulated fields, per treatment session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $885.06 | $1,110.46 | $1,188.47 | |
Providence
| Facility | $885.06 | $1,110.46 | $1,188.47 |