| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $44.67 | $194.98 | $630.96 |
Rp Loclzj Inflammatory Process Tomog Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $44.67 | $194.98 | $630.96 |