| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $15.57 | $22.10 | $34.04 | |
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 | $15.57 | $22.10 | $34.04 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 |