| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $568.07 | $788.32 | $1,683.81 | |
Medica
| Professional | $1,965.24 | $1,965.24 | $1,965.24 |
Compnstr-Based Beam Modlj Tx Dlvr Inverse 3> Fld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $568.07 | $788.32 | $1,683.81 | |
Medica
| Professional | $1,965.24 | $1,965.24 | $1,965.24 |