| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $36.15 | $50.75 | $87.73 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |
Moderate Sedatj Diff Phys/Qhp 5/>Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $36.15 | $50.75 | $87.73 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |