| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,902.86 | $4,009.42 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $2,057.07 | $27,793.28 | |
Kaiser Permanente
| Facility | $1,458.86 | $3,238.57 | $3,933.19 | |
Pacific Source
| Facility | $2,292.91 | $2,833.17 | $3,087.88 | |
Premera BCBS
| Facility | $2,057.07 | $2,057.07 | $2,073.41 | |
United
| Facility | $1,120.00 | $3,323.00 | $36,803.00 |