| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.82 | $24.82 | $27.34 | |
Kaiser Permanente
| Professional | $20.44 | $24.40 | $27.91 | |
Moda Health
| Facility | $11.59 | $22.90 | $88.61 | |
Pacific Source
| Facility | $17.48 | $22.11 | $79.73 | |
Providence
| Facility | $13.15 | $27.39 | $88.61 | |
Regence BlueShield
| Facility | $1,357.38 | $1,801.21 | $2,184.89 |