| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $25.33 | $32.47 | $36.85 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $25.33 | $32.47 | $36.85 |