| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,973.65 | $1,973.65 | $1,973.65 | |
Pacific Source
| Facility | $1,239.15 | $1,509.51 | $1,509.51 | |
Providence
| Facility | $1,740.10 | $1,947.03 | $1,644,432.92 | |
Providence
| Professional | $981.65 | $1,815.20 | $2,087.48 | |
Regence BlueShield
| Facility | $2,047.29 | $2,564.53 | $3,119.60 | |
Regence BlueShield
| Professional | $750.00 | $750.00 | $750.00 | |
United
| Professional | $1,032.00 | $1,397.50 | $1,964.25 |