| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $97.72 | $158.49 | $288.40 | |
Providence
| Professional | $50.12 | $50.12 | $173.78 |
Teletherapy Isodose Plan Intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $97.72 | $158.49 | $288.40 | |
Providence
| Professional | $50.12 | $50.12 | $173.78 |