| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $128.82 | $204.17 | $380.19 | |
Providence
| Professional | $95.50 | $95.50 | $199.53 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $128.82 | $204.17 | $380.19 | |
Providence
| Professional | $95.50 | $95.50 | $199.53 |