| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QX | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QY | $325.60 | $325.60 | $325.60 |
Anes Xtrprtl Lwr Abd W/Urinary Tract Rad Prstect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QX | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QY | $325.60 | $325.60 | $325.60 |