| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $419.50 | $3,616.95 | $3,616.95 | |
Medica
| Professional | $850.15 | $850.15 | $850.15 |
Rp Loclzj Inflammatory Process Limited Area
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $419.50 | $3,616.95 | $3,616.95 | |
Medica
| Professional | $850.15 | $850.15 | $850.15 |