| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,969.02 | $10,122.46 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $6,071.11 | $108,444.84 | |
Asuris Northwest Health
| Facility | 62 | $3,892.89 | $12,811.62 | $12,811.62 |
Kaiser Permanente
| Facility | $4,386.16 | $7,978.48 | $11,521.34 | |
Pacific Source
| Facility | $5,334.40 | $8,554.51 | $9,075.95 | |
Premera BCBS
| Facility | $6,071.11 | $6,071.11 | $6,153.96 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |