| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $241.33 | $305.55 | $442.67 | |
Medica
| Professional | $960.33 | $960.33 | $960.33 |
Radj Dlvr 3/> Areas Custom Blking 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $241.33 | $305.55 | $442.67 | |
Medica
| Professional | $960.33 | $960.33 | $960.33 |