| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.21 | $49.86 | $120.02 | |
Asuris Northwest Health
| Professional | $58.21 | $97.52 | $1,688.61 | |
Cigna
| Professional | $56.86 | $94.39 | $145.21 | |
Kaiser Permanente
| Professional | $43.09 | $105.92 | $257.63 | |
Molina
| Professional | $14.56 | $64.23 | $145.44 | |
Premera BCBS
| Professional | $64.20 | $96.05 | $118.10 | |
Regence BlueShield
| Professional | $58.21 | $87.19 | $118.65 | |
United
| Professional | $37.72 | $54.10 | $155.75 |