| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $125.78 | $196.06 | $316.88 | |
Providence
| Professional | $96.07 | $199.40 | $199.40 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $125.78 | $196.06 | $316.88 | |
Providence
| Professional | $96.07 | $199.40 | $199.40 |