| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $396.58 | $396.58 | $409.50 |
Transluminal Balloon Angiop Peripheral Art Rsi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $396.58 | $396.58 | $409.50 |