| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $57.54 | $85.11 | $194.98 | |
Providence
| Facility | $57.54 | $85.11 | $194.98 |
Physical Therapy Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $57.54 | $85.11 | $194.98 | |
Providence
| Facility | $57.54 | $85.11 | $194.98 |