| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,995.26 | $1,995.26 | $1,995.26 | |
Pacific Source
| Facility | $1,230.27 | $1,513.56 | $1,513.56 | |
Providence
| Facility | $1,949.84 | $1,949.84 | $1,659,586.91 | |
Providence
| Professional | $2,089.30 | $2,089.30 | $2,089.30 | |
Regence BlueShield
| Facility | $2,041.74 | $2,570.40 | $3,235.94 | |
United
| Professional | $616.60 | $616.60 | $616.60 |