| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $436.52 | $436.52 | $524.81 | |
Medica
| Professional | $1,047.13 | $1,047.13 | $1,047.13 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 21 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $436.52 | $436.52 | $524.81 | |
Medica
| Professional | $1,047.13 | $1,047.13 | $1,047.13 |