| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $605.72 | $605.72 | $605.72 | |
Providence
| Facility | $605.72 | $743.60 | $764.69 |
Rpr 1 Transvns Eltrd Prm Pm/Pacing Implntbl Dfb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $605.72 | $605.72 | $605.72 | |
Providence
| Facility | $605.72 | $743.60 | $764.69 |