| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Security Health
| Facility | $25.12 | $25.12 | $25.12 |
Incremental Nursing Charge-Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Security Health
| Facility | $25.12 | $25.12 | $25.12 |