| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $591.88 | $10,122.46 | $27,982.24 | |
Asuris Northwest Health
| Facility | $445.30 | $82,365.71 | $157,556.31 | |
Kaiser Permanente
| Facility | $428.62 | $774.53 | $107,093.66 | |
Pacific Source
| Facility | $436.63 | $623.76 | $668.44 | |
Premera BCBS
| Facility | $445.30 | $445.30 | $447.40 | |
Regence BlueShield
| Facility | $62,914.52 | $83,935.88 | $157,556.31 | |
United
| Facility | $7,425.00 | $49,837.00 | $71,362.00 |