| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $246.92 | $246.92 | $246.92 | |
Pacific Source
| Facility | $247.16 | $247.16 | $279.01 | |
Regence BlueShield
| Facility | $246.92 | $617.29 | $832.17 | |
Regence BlueShield
| Professional | $197.54 | $512.10 | $655.96 |