| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $148.83 | $156.76 | $193.79 | |
Providence
| Professional | $49.79 | $49.79 | $172.12 |
Teletherapy, isodose plan (whether hand or computer calculated); intermediate (3 or more treatment ports directed to a single area of interest)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $148.83 | $156.76 | $193.79 | |
Providence
| Professional | $49.79 | $49.79 | $172.12 |