| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $218.99 | $345.77 | $406.84 |
Iv Ultrasound Rs&I Initial Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $218.99 | $345.77 | $406.84 |