| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,528.00 | $7,920.26 | $24,258.74 | |
Asuris Northwest Health
| Facility | $55.00 | $1,550.14 | $9,098.53 | |
Kaiser Permanente
| Facility | $1,397.54 | $2,436.82 | $2,996.63 | |
Pacific Source
| Facility | $1,492.48 | $2,148.71 | $2,279.34 | |
Premera BCBS
| Facility | $1,535.67 | $1,535.67 | $1,550.14 | |
United
| Facility | $1,120.00 | $3,323.00 | $36,803.00 |