| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,479.11 | $2,187.76 | $2,454.71 |
Musc Myocutaneous/Fasciocutaneous Flap Head&Nc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,479.11 | $2,187.76 | $2,454.71 |