| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
Regence BlueShield
| Facility | $41.42 | $56.46 | $82.27 | |
Regence BlueShield
| Professional | $83.07 | $92.30 | $104.54 | |
United
| Professional | $72.30 | $89.51 | $142.19 |