| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $61,509.88 | $89,551.00 | $130,501.45 | |
Regence BlueShield
| Professional | $135.15 | $166.65 | $879.37 | |
United
| Professional | $107.58 | $128.55 | $241.87 |