| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $171.48 | $171.48 | $191.49 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Prolonged Svc I/P Or Obs Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $171.48 | $171.48 | $191.49 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |