| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,530.76 | $3,360.29 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $1,546.54 | $10,881.12 | |
Kaiser Permanente
| Facility | $1,434.72 | $2,454.85 | $3,323.88 | |
Pacific Source
| Facility | $1,838.68 | $2,269.29 | $2,522.40 | |
Premera BCBS
| Facility | $1,546.54 | $1,546.54 | $1,591.73 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |