| 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 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 20 MeV or greater
| 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 |