| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $13.18 | $21.88 | $323.59 | |
Medica
| Professional | $19.05 | $323.59 | $323.59 |
Moderate Sedatj Diff Phys/Qhp Ea Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $13.18 | $21.88 | $323.59 | |
Medica
| Professional | $19.05 | $323.59 | $323.59 |