| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.30 | $403.48 | $14,464.32 | |
Asuris Northwest Health
| Facility | $188.90 | $2,421.15 | $4,941.05 | |
Cigna
| Facility | $714.97 | $870.49 | $1,132.06 | |
Kaiser Permanente
| Facility | $116.93 | $212.66 | $840.73 | |
Pacific Source
| Facility | $168.04 | $268.19 | $292.12 | |
Premera BCBS
| Facility | $188.28 | $188.90 | $927.31 | |
Regence BlueShield
| Facility | $1,859.61 | $2,581.55 | $4,941.05 | |
United
| Facility | $472.00 | $938.00 | $4,611.00 |