| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,084.56 | $1,084.56 | $1,084.56 | |
Moda Health
| Professional | $217.22 | $217.22 | $217.22 | |
Pacific Source
| Facility | $247.74 | $623.00 | $1,860.77 | |
Providence
| Facility | $1,084.56 | $1,084.56 | $1,644,227.32 | |
Regence BlueShield
| Facility | $1,037.60 | $1,258.55 | $1,551.28 |