| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $210.25 | $210.25 | $244.10 | |
Medica
| Professional | $80.17 | $467.11 | $467.11 |
Oct Skn Img Acquisj I&R 1st Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $210.25 | $210.25 | $244.10 | |
Medica
| Professional | $80.17 | $467.11 | $467.11 |