| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $82.48 | $82.48 | $82.48 | |
Pacific Source
| Facility | $51.63 | $131.00 | $238.03 | |
Providence
| Facility | $82.48 | $82.48 | $82.48 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 | |
Regence BlueShield
| Facility | $203.33 | $203.33 | $204.49 |