| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $47.90 | $71.05 | $136.85 | |
Medica
| Professional | $358.72 | $358.72 | $358.72 |
Moderate Sedatj Same Phys/Qhp <5 Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $47.90 | $71.05 | $136.85 | |
Medica
| Professional | $358.72 | $358.72 | $358.72 |