| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.28 | $112.20 | $186.21 | |
Providence
| Professional | $158.49 | $158.49 | $288.40 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 6-1Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.28 | $112.20 | $186.21 | |
Providence
| Professional | $158.49 | $158.49 | $288.40 |