| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $127.79 | $127.79 | $127.79 | |
Pacific Source
| Facility | $46.00 | $46.00 | $708.80 | |
Providence
| Facility | $600,000.00 | $600,000.00 | $600,000.00 | |
Regence BlueShield
| Facility | $73.59 | $578.14 | $1,159.14 |