| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $21.38 | $21.38 | $39.81 |
Moderate Sedatj Same Phys/Qhp Each Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $21.38 | $21.38 | $39.81 |