| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $261.63 | $327.00 | $370.60 |
Dom/R-Home E/M Est Pt Signif New Prob 60 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $261.63 | $327.00 | $370.60 |