| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $372.33 | $372.33 | $1,116.99 |
Prq Trluml Coronry Chrnic Occlus Revasc Addl Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $372.33 | $372.33 | $1,116.99 |