| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,989.48 | $6,056.43 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $3,108.49 | $24,507.27 | |
Kaiser Permanente
| Facility | $2,766.27 | $4,927.10 | $5,983.87 | |
Pacific Source
| Facility | $3,314.85 | $4,472.92 | $4,673.92 | |
Premera BCBS
| Facility | $3,108.49 | $3,108.49 | $3,188.03 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |