| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $6.03 | $7.67 | $8.84 |
Hlth&Behavior Ivntj Ea 15 Min Grp 2/>Pts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $6.03 | $7.67 | $8.84 |