| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.58 | $143.72 | $235.87 |
Asuris Northwest Health
| Facility | 26 | $150.00 | $303.95 | $303.95 |
Kaiser Permanente
| Facility | 26 | $66.02 | $147.05 | $3,447.33 |
Pacific Source
| Facility | 26 | $106.15 | $128.53 | $131.32 |
Premera BCBS
| Facility | 26 | $87.43 | $87.43 | $88.20 |
Regence BlueShield
| Facility | 26 | $3,312.81 | $3,312.81 | $5,551.62 |