| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $242.48 | $306.98 | $444.71 | |
Medica
| Professional | $960.33 | $960.33 | $960.33 |
Radj Dlvr 3/> Areas Custom Blking 20Mev/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $242.48 | $306.98 | $444.71 | |
Medica
| Professional | $960.33 | $960.33 | $960.33 |