| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $147.88 | $199.28 | |
Providence
| Professional | $173.29 | $173.29 | $322.81 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $147.88 | $199.28 | |
Providence
| Professional | $173.29 | $173.29 | $322.81 |