| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,293.19 | $2,907.80 | $3,224.04 |
Lam Cordotomy Sctj Both Tracts 2 Stages Cervical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,293.19 | $2,907.80 | $3,224.04 |