| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $399.08 | $399.08 | $399.08 |
Other Imaging Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $399.08 | $399.08 | $399.08 |