| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $35.48 | $61.66 | $158.49 | |
Medica
| Professional | $316.23 | $316.23 | $316.23 |
Moderate Sedatj Diff Phys/Qhp 5/>Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $35.48 | $61.66 | $158.49 | |
Medica
| Professional | $316.23 | $316.23 | $316.23 |