| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.23 | $5,128.00 | $20,680.40 | |
Asuris Northwest Health
| Facility | $322.08 | $145,155.28 | $296,230.46 | |
Kaiser Permanente
| Facility | $220.91 | $472.70 | $41,026.98 | |
Pacific Source
| Facility | $234.37 | $432.82 | $479.72 | |
Premera BCBS
| Facility | $322.08 | $322.08 | $327.20 | |
Regence BlueShield
| Facility | $100,420.02 | $151,424.04 | $296,230.46 | |
United
| Facility | $2,912.00 | $3,509.00 | $17,644.00 |