| 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 |