| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $533.94 | $550.12 | $1,683.81 | |
Asuris Northwest Health
| Professional | $5,247.00 | $5,247.00 | $5,247.00 |
Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $533.94 | $550.12 | $1,683.81 | |
Asuris Northwest Health
| Professional | $5,247.00 | $5,247.00 | $5,247.00 |