| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.40 | $0.41 | $1.47 | |
Cigna
| Professional | $0.88 | $0.88 | $0.88 | |
Moda Health
| Facility | $0.41 | $0.59 | $2.04 | |
Pacific Source
| Facility | $0.80 | $0.80 | $79,999.20 | |
Providence
| Facility | $0.59 | $1.60 | $2.90 | |
Providence
| Professional | $0.88 | $1.81 | $1.81 | |
Regence BlueShield
| Facility | $1.00 | $1.00 | $1.00 |