| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,092.42 | $4,444.18 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $2,110.98 | $28,737.44 | |
Kaiser Permanente
| Facility | $1,910.16 | $3,274.82 | $3,977.21 | |
Pacific Source
| Facility | $2,346.73 | $2,978.49 | $3,132.25 | |
Premera BCBS
| Facility | $2,110.98 | $2,110.98 | $2,136.48 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |