| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,780.05 | $2,244.00 | $2,941.97 |
Lam Cordotomy Sctj 1 Spinothalmic Tract Thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,780.05 | $2,244.00 | $2,941.97 |