| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $296.72 | $296.72 | $296.72 | |
Pacific Source
| Facility | $154.84 | $228.00 | $257.27 |
Initial Observation Care/Day 50 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $296.72 | $296.72 | $296.72 | |
Pacific Source
| Facility | $154.84 | $228.00 | $257.27 |