| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $56.74 | $87.92 | $87.92 |
Moderate Sedatj Diff Phys/Qhp 5/>Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $56.74 | $87.92 | $87.92 |