| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $16.07 | $23.64 | $85.00 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 |
Moderate Sedatj Diff Phys/Qhp Ea Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $16.07 | $23.64 | $85.00 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 |