| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $650.48 | $685.37 | $1,168.56 | |
Medica
| Professional | $635.01 | $635.01 | $635.01 |
Compnstr-Based Beam Modlj Tx Dlvr Inverse 3> Fld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $650.48 | $685.37 | $1,168.56 | |
Medica
| Professional | $635.01 | $635.01 | $635.01 |