| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.51 | $25.64 | $28.38 | |
Aetna
| Professional | $10.55 | $13.19 | $30.33 | |
Cigna
| Professional | $13.03 | $25.01 | $30.65 | |
Kaiser Permanente
| Professional | $15.54 | $21.99 | $27.36 | |
Moda Health
| Facility | $10.61 | $14.51 | $29.05 | |
Moda Health
| Professional | $12.32 | $20.39 | $36.08 | |
Pacific Source
| Facility | $14.95 | $22.11 | $22.78 | |
Providence
| Facility | $10.57 | $14.51 | $29.05 | |
Providence
| Professional | $10.63 | $20.66 | $29.72 | |
Regence BlueShield
| Professional | $16.92 | $22.66 | $29.92 | |
United
| Professional | $16.50 | $22.51 | $35.22 |