| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $103.51 | $119.04 | $196.05 |
Dom/R-Home E/M Est Pt Mod Hi Severity 40 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $103.51 | $119.04 | $196.05 |