| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $3,235.94 | $17,782.79 | |
Kaiser Permanente
| Facility | $354.81 | $588.84 | $5,248.07 | |
Pacific Source
| Facility | $1,995.26 | $2,398.83 | $4,570.88 | |
Premera BCBS
| Facility | $1,737.80 | $1,737.80 | $1,819.70 | |
Regence BlueShield
| Facility | $10,232.93 | $10,232.93 | $12,882.50 | |
United
| Facility | $3,019.95 | $11,481.54 | $20,892.96 |