| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,978.70 | $2,542.15 | $2,783.92 |
Lam Cordotomy Sctj Both Spinothalmic Tracts Crv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,978.70 | $2,542.15 | $2,783.92 |