| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $69,999.30 | $69,999.30 | $69,999.30 |
Domicil/Rest Home New Pt Hi-Mod Sever 45 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $69,999.30 | $69,999.30 | $69,999.30 |