| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $551.85 | $714.00 | $785.91 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $551.85 | $714.00 | $785.91 |