| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $7,943.28 | $21,877.62 | |
Kaiser Permanente
| Professional | $281.84 | $630.96 | $812.83 | |
Moda Health
| Facility | $436.52 | $616.60 | $13,489.63 | |
Pacific Source
| Facility | $537.03 | $630.96 | $660.69 | |
Providence
| Facility | $331.13 | $446.68 | $794.33 | |
Regence BlueShield
| Facility | $74,131.02 | $100,000.00 | $117,489.76 | |
United
| Facility | $7,413.10 | $60,255.96 | $125,892.54 |