| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,398.83 | $2,398.83 | $2,398.83 | |
Quartz
| Facility | $13,803.84 | $13,803.84 | $13,803.84 |
Leave of Absence-Nursing Home (for Hospitalization)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,398.83 | $2,398.83 | $2,398.83 | |
Quartz
| Facility | $13,803.84 | $13,803.84 | $13,803.84 |