| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $245.47 | $245.47 | $245.47 | |
Pacific Source
| Facility | $245.47 | $245.47 | $281.84 | |
Regence BlueShield
| Facility | $245.47 | $616.60 | $831.76 | |
Regence BlueShield
| Professional | $199.53 | $512.86 | $660.69 |