| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $46.56 | $177.11 | $301.95 |
Rp Loclzj Inflammatory Process Tomog Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $46.56 | $177.11 | $301.95 |