| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $14.16 | $14.16 | $20.91 | |
CDPHP
| Professional | $14.16 | $20.91 | $35.07 |
Oct Skn Img Acquisj I&R Ea Addl Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $14.16 | $14.16 | $20.91 | |
CDPHP
| Professional | $14.16 | $20.91 | $35.07 |