| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $142.52 | $156.77 | $199.53 |
Domicil/Rest Home New Pt Visit Hi Sever 60 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $142.52 | $156.77 | $199.53 |