| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $140.82 | $185.06 | |
Providence
| Professional | $157.40 | $157.40 | $291.64 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 6-10 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $140.82 | $185.06 | |
Providence
| Professional | $157.40 | $157.40 | $291.64 |