| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,030.54 | $2,739.42 | $3,224.56 |
Revise Spinal Cord Ligament
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,030.54 | $2,739.42 | $3,224.56 |