| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $649.23 | $817.40 | $920.04 |
Expl N/Flwd Surg Rpr W/Wo Lysis Femoral Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $649.23 | $817.40 | $920.04 |