| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $347.18 | $347.18 | $467.28 | |
Pacific Source
| Facility | $216.58 | $318.60 | $351.75 |
Initial Observation Care/Day 70 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $347.18 | $347.18 | $467.28 | |
Pacific Source
| Facility | $216.58 | $318.60 | $351.75 |