| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.18 | $2,756.65 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $1,277.91 | $7,843.36 | |
Kaiser Permanente
| Facility | $1,144.72 | $2,016.95 | $2,449.55 | |
Pacific Source
| Facility | $1,359.26 | $1,840.49 | $1,926.25 | |
Premera BCBS
| Facility | $1,277.91 | $1,277.91 | $1,313.88 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |