| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $777.52 | $777.52 | $777.52 | |
Medica
| Professional | $1,589.17 | $1,589.17 | $1,589.17 |
Rp Loclzj Inflammatory Process Tomog Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $777.52 | $777.52 | $777.52 | |
Medica
| Professional | $1,589.17 | $1,589.17 | $1,589.17 |