| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $967.73 | $967.73 | $998.87 |
Ntsty Modul Dlvr 1/Mlt Flds/Arcs Pr Tx Session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $967.73 | $967.73 | $998.87 |