| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.71 | $0.73 | $4.18 | |
Asuris Northwest Health
| Facility | $5.74 | $11.27 | $100.00 | |
Asuris Northwest Health
| Professional | $1.14 | $2.47 | $4.63 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Molina
| Professional | $3.35 | $3.68 | $8.37 | |
Pacific Source
| Facility | $1.20 | $2.29 | $79,999.20 | |
Premera BCBS
| Facility | $5.74 | $8.19 | $11.39 |