| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $13,653.00 | $17,467.05 | $25,454.49 | |
Regence BlueShield
| Professional | $1,040.65 | $1,360.35 | $1,648.69 | |
United
| Professional | $961.07 | $1,161.85 | $2,386.08 |