| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $43.89 | $106.12 | $172.45 |
Injection Procedure Pyelography Via Tube/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $43.89 | $106.12 | $172.45 |