| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,137.96 | $2,344.23 | $3,467.37 |
Professional Fees (Extension of 096X)-Physical Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $2,137.96 | $2,344.23 | $3,467.37 |