| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $421.11 | $745.02 | $745.02 | |
Lucent Health
| Professional | $960.33 | $960.33 | $960.33 |
Radj Dlvr 3/> Areas Custom Blking 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $421.11 | $745.02 | $745.02 | |
Lucent Health
| Professional | $960.33 | $960.33 | $960.33 |