| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $41.81 | $62.88 | $73.44 | |
Providence
| Facility | $85.18 | $89.75 | $93.70 | |
Providence
| Professional | $60.72 | $71.50 | $93.70 |
Macr Exm Diss&Prp Nonmicr Imprnt/Conslt/Frz Se
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $41.81 | $62.88 | $73.44 | |
Providence
| Facility | $85.18 | $89.75 | $93.70 | |
Providence
| Professional | $60.72 | $71.50 | $93.70 |