| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $499.80 | $649.35 | $731.94 |
Cerebrospinal Fluid Flow, Imaging (Not W/Introduction, Matl); Tomographic (Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $499.80 | $649.35 | $731.94 |