| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $341.95 | $580.44 | $671.77 |
Rad S&I Perq Vrtpls/Sacrplsty Pr Vrt Body Fluo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $341.95 | $580.44 | $671.77 |