| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $30.90 | $39.81 | $42.66 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/O Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $30.90 | $39.81 | $42.66 |