| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $30.82 | $39.04 | $44.88 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/O Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $30.82 | $39.04 | $44.88 |