| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $8.00 | $8.00 | $8.00 |
Hhcp-Svs Of S/L Path,Ea 15mn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $8.00 | $8.00 | $8.00 |