| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $5.56 | $82.84 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |
Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $5.56 | $82.84 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |