| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,075.03 | $5,075.03 | $5,075.03 | |
Asuris Northwest Health
| Facility | $6,434.16 | $6,434.16 | $21,047.41 | |
Asuris Northwest Health
| Professional | $11,700.00 | $11,700.00 | $11,700.00 | |
Cigna
| Professional | $5,911.94 | $5,911.94 | $5,911.94 | |
Pacific Source
| Facility | $4,298.52 | $4,298.52 | $44,149.56 | |
United
| Professional | $4,156.43 | $4,259.31 | $4,585.79 |