| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $2,304.92 | $3,037.06 | $3,037.06 |
Asuris Northwest Health
| Facility | 50 | $5,921.24 | $7,751.91 | $14,996.88 |
Kaiser Permanente
| Facility | 50 | $5,601.66 | $9,525.34 | $22,917.91 |
Regence BlueShield
| Facility | 50 | $5,656.44 | $7,751.91 | $14,828.52 |