| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $3,619.37 | $79,999.20 | $79,999.20 |
Ablation of prostate, transrectal, high intensity focused ultrasound (HIFU), including imaging guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $3,619.37 | $79,999.20 | $79,999.20 |