| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $437.69 | $719.85 | $719.85 | |
Lucent Health
| Professional | $906.47 | $906.47 | $906.47 | |
Providence
| Facility | $100.00 | $100.00 | $120.00 |
Dom/R-Home E/M Est Pt Signif New Prob 60 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $437.69 | $719.85 | $719.85 | |
Lucent Health
| Professional | $906.47 | $906.47 | $906.47 | |
Providence
| Facility | $100.00 | $100.00 | $120.00 |