| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $408.20 | $416.19 | $416.19 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $408.20 | $416.19 | $416.19 |