| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $71.70 | $96.16 | $128.33 | |
Providence
| Professional | $62.28 | $161.72 | $161.72 |
Us Breast Real Time W/Image Documentation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $71.70 | $96.16 | $128.33 | |
Providence
| Professional | $62.28 | $161.72 | $161.72 |