| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $670.59 | $79,999.20 | $79,999.20 | |
Pacific Source
| Professional | $838.24 | $838.24 | $838.24 |
Ko Single Upright Pre Ots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $670.59 | $79,999.20 | $79,999.20 | |
Pacific Source
| Professional | $838.24 | $838.24 | $838.24 |