| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $40.03 | $60.78 | $255.78 | |
Medica
| Professional | $258.29 | $258.29 | $258.29 |
Moderate Sedatj Same Phys/Qhp 5/>Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $40.03 | $60.78 | $255.78 | |
Medica
| Professional | $258.29 | $258.29 | $258.29 |