| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $351.82 | $617.30 | $685.23 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $351.82 | $617.30 | $685.23 |