| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $634.04 | $1,005.72 | $1,257.98 |
Interstitial Radiation Source Applic Intermed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $634.04 | $1,005.72 | $1,257.98 |