| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $73.34 | $80.67 | $102.68 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $73.34 | $80.67 | $102.68 |