| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $251.19 | $251.19 | $380.19 | |
Regence BlueShield
| Facility | $354.81 | $524.81 | $616.60 | |
Regence BlueShield
| Professional | $213.80 | $295.12 | $549.54 | |
United
| Professional | $74.13 | $74.13 | $74.13 |