| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,341.00 | $22,572.90 | $30,519.20 | |
Regence BlueShield
| Facility | $1,305.00 | $1,671.00 | $2,247.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $15,393.96 |
Organic disturbances & intellectual disability
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,341.00 | $22,572.90 | $30,519.20 | |
Regence BlueShield
| Facility | $1,305.00 | $1,671.00 | $2,247.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $15,393.96 |