| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $167.54 | $627.45 | $627.45 | |
Lucent Health
| Professional | $522.83 | $522.83 | $522.83 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 20Mev/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $167.54 | $627.45 | $627.45 | |
Lucent Health
| Professional | $522.83 | $522.83 | $522.83 |