| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.20 | $713.60 | $1,069.59 | |
Pacific Source
| Facility | $51.63 | $131.00 | $238.03 | |
Providence
| Facility | $1,644,030.24 | $1,644,030.24 | $1,644,030.24 | |
Providence
| Professional | $2,250,000.00 | $2,400,000.00 | $2,400,000.00 | |
Regence BlueShield
| Facility | $136.78 | $171.33 | $214.61 |