| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $194.98 | $426.58 | $562.34 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $194.98 | $426.58 | $562.34 |