| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $147.41 | $198.79 | |
Providence
| Professional | $172.23 | $172.23 | $321.52 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $81.68 | $147.41 | $198.79 | |
Providence
| Professional | $172.23 | $172.23 | $321.52 |