| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $977.60 | $977.60 | $1,009.47 |
Trluml Baloon Angiopl Opn Renal/Oth Visceral Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $977.60 | $977.60 | $1,009.47 |