| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,141.00 | $1,677.00 | $5,513.00 |
Professional Fees (see also 097X and 098X)-Psychiatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,141.00 | $1,677.00 | $5,513.00 |