| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,250.00 | $1,250.00 | $1,250.00 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Drug Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,250.00 | $1,250.00 | $1,250.00 |