| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $259.87 | $259.87 | $259.87 |
Hally Health
| Professional | 26 | $737.96 | $737.96 | $737.96 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |
Mri Brain Functional W/O Physician Admnistration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $259.87 | $259.87 | $259.87 |
Hally Health
| Professional | 26 | $737.96 | $737.96 | $737.96 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |