| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,424.26 | $3,043.22 | $3,383.50 |
Lam Cordotomy Sctj Both Tracts 2 Stages Thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $2,424.26 | $3,043.22 | $3,383.50 |