| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $128.91 | $128.91 | $128.91 | |
Health Alliance Plan
| Professional | $128.91 | $129.22 | $171.82 |
Initial Observation Care/Day 50 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $128.91 | $128.91 | $128.91 | |
Health Alliance Plan
| Professional | $128.91 | $129.22 | $171.82 |