| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $93.06 | $187.62 | $219.82 |
Injection Procedure Pyelography Via Tube/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $93.06 | $187.62 | $219.82 |