| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $244.20 | $244.20 | $244.20 |
Providence
| Facility | QX | $244.20 | $244.20 | $244.20 |
Providence
| Facility | QY | $244.20 | $244.20 | $244.20 |
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $244.20 | $244.20 | $244.20 |
Providence
| Facility | QX | $244.20 | $244.20 | $244.20 |
Providence
| Facility | QY | $244.20 | $244.20 | $244.20 |