| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,133.01 | $6,578.17 | $20,680.40 | |
Asuris Northwest Health
| Facility | $55.00 | $3,454.13 | $47,927.04 | |
Kaiser Permanente
| Facility | $3,104.52 | $5,230.55 | $6,602.86 | |
Pacific Source
| Facility | $3,740.17 | $4,930.55 | $5,306.40 | |
Premera BCBS
| Facility | $3,454.13 | $3,454.13 | $3,619.44 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |