| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $8.02 | $27.81 | $560.07 |
Other Therapeutic Services-Extension of 094X - Athletic Training
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $8.02 | $27.81 | $560.07 |