| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.50 | $2,254.16 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $1,104.41 | $14,999.04 | |
Kaiser Permanente
| Facility | $825.84 | $1,808.96 | $2,217.09 | |
Pacific Source
| Facility | $1,251.46 | $1,562.62 | $1,707.83 | |
Premera BCBS
| Facility | $1,104.41 | $1,104.41 | $1,113.71 | |
United
| Facility | $1,120.00 | $3,323.00 | $36,803.00 |